Individual provider Active NPI

James M Smith, PT

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1730120940
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00665400 Issued in NJ
Practice address
1904 Atlantic Avenue
Manasquan, NJ 08736-1006
Phone
(732) 528-1010
Fax
(732) 528-2139
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00665400 NJ Primary
Physical Therapist 225100000X 0150041 NY

Addresses

Primary practice location

1904 Atlantic Avenue
Manasquan, NJ 08736-1006

Mailing address

66 W Gilbert St
Suite 100
Red Bank, NJ 07701-4918
Phone (732) 212-0060

Other identifiers 1

IdentifierTypeStateIssuer
P00332998OtherNJRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000205 NJ Practitioner - Physical Therapist in Private Practice 3072525492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

884 Commons Way
BLDG H
Toms River, NJ 08755-6430
Phone (732) 244-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0150041NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Med Associates LLC CurrentSince May 1, 2025 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Somdocs CurrentSince Nov 9, 2023 Accepting new patients
Liberty Med Associates LLC CurrentSince May 1, 2025 Accepting new patients
Team Monmouth Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

1 Bethany Rd
Ste 27
Hazlet, NJ 07730
Phone (732) 739-5545

1904 Atlantic Ave
Manasquan, NJ 08736
Phone (732) 292-4363

254 Texas Rd
Old Bridge, NJ 08857
Phone (732) 359-2691

303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

325 Maple Ave
Red Bank, NJ 07701
Phone (732) 292-4363

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

884 Commons Way
Bldg H
Toms River, NJ 08755
Phone (732) 244-7004

100 State Route 36
Ste 2P
West Long Branch, NJ 07764
Phone (732) 741-1119

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1730120940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "address_2": "SUITE 100",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077014918",
            "telephone_number": "732-212-0060",
            "fax_number": "732-212-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ATLANTIC AVENUE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361006",
            "telephone_number": "732-528-1010",
            "fax_number": "732-528-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00665400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0150041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00332998",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.