Active NPI
Joseph G. Corpuz, PT
- Physical Therapist
- Eatontown, NJ
National Provider Identifier
1720206485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT040QA00914600
- Practice address
- 3 Industrial Way E
Eatontown, NJ 07724-3318 - Phone
- (732) 544-2557
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT040QA00914600 | NJ | Primary |
Addresses
Primary practice location
3 Industrial Way E
Eatontown, NJ 07724-3318
Mailing address
2315 Bayhead Dr
Parlin, NJ 08859-2423
Phone (732) 727-1529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT040QA00914600 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapyand Fitness Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Neptune, NJ
- NPI 1801016746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720206485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 BAYHEAD DR",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088592423",
"telephone_number": "732-727-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 INDUSTRIAL WAY E",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243318",
"telephone_number": "732-544-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPUZ",
"first_name": "JOSEPH",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT040QA00914600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eatontown, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.