Organization Active NPI

Island Physical Therapy LLC

  • Physical Therapist
  • North Wildwood, NJ
National Provider Identifier
1710858063
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ISLAND PHYSICAL THERAPY LLC
Practice address
100 E 6TH Ave
North Wildwood, NJ 08260-5822
Phone
(610) 745-9860
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Bryan Ohalloran, DPTNPI 1295799914
Title
Owner/President
Phone
(610) 745-9860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

100 E 6TH Ave
North Wildwood, NJ 08260-5822

Mailing address

128 E 4TH Ave
North Wildwood, NJ 08260-5802
Phone (610) 745-9860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023000348 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911495759 Receives reassigned benefits from 1 practitioner
Practice locations: North Wildwood, NJ

National Provider Directory

National Provider Directory

Locations

100 E 6th Ave
North Wildwood, NJ 08260
Phone (610) 306-4621

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1710858063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E 4TH AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605802",
            "telephone_number": "610-745-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 6TH AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605822",
            "telephone_number": "610-745-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "OHALLORAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "610-745-9860",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wildwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.