Active NPI
James M Smith, PT
- Physical Therapist
- Manasquan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00665400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00332998 | Other | NJ | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0150041 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Med Associates LLC | Current | Accepting new patients | |
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Somdocs | Current | Accepting new patients | |
| Liberty Med Associates LLC | Current | 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.
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
NJ, Physical Therapist
-
- Foot & Ankle Surgery Podiatrist
- Hazlet, NJ
- NPI 1386279552
-
- Physical Therapist
- Red Bank, NJ
- NPI 1982887600
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.