Individual provider Active NPI

Cynthia Locastro, PT

  • Physical Therapist
  • Manalapan, NJ
National Provider Identifier
1700932654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00855300 Issued in NJ
Practice address
455 US Highway 9
Professional Sports & Orthopaedic Rehabilitation
Manalapan, NJ 07726-8274
Phone
(732) 617-8090
Fax
(732) 972-5458
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00855300 NJ Primary

Addresses

Primary practice location

455 US Highway 9
Professional Sports & Orthopaedic Rehabilitation
Manalapan, NJ 07726-8274

Mailing address

26 Johnson Ave
Matawan, NJ 07747-2514
Phone (732) 617-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060414000057 NJ Practitioner - Physical Therapist in Private Practice 1355350679 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00855300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Apr 16, 2022 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Nov 20, 2022 Accepting new patients
Bloomfield Total Health Center Physical Therapist PastSince Aug 22, 2012 Accepting new patients

Locations

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700932654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JOHNSON AVE",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472514",
            "telephone_number": "732-617-8090",
            "fax_number": "732-972-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 US HIGHWAY 9",
            "address_2": "PROFESSIONAL SPORTS & ORTHOPAEDIC REHABILITATION",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268274",
            "telephone_number": "732-617-8090",
            "fax_number": "732-972-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCASTRO",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00855300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.