Active NPI
Jersey Physical Therapy of Milltown/East Brunswick
- Physical Therapist
- East Brunswick, NJ
National Provider Identifier
1730138512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JERSEY PHYSICAL THERAPY OF MILLTOWN/EAST BRUNSWICK
- Practice address
- 180 Tices LN
East Brunswick, NJ 08816-1337 - Phone
- (732) 418-7033
- Fax
- (732) 418-7011
- NPI assigned
- May 9, 2006
- Last updated
- Mar 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean T. Moore, PT, MPT
- Title
- Managing Member
- Phone
- (732) 418-7033
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
180 Tices LN
East Brunswick, NJ 08816-1337
Mailing address
3228 State Route 27
Kendall Park, NJ 08824-1524
Phone (732) 297-0032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7074461 | Other | NJ | AETNA PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 12
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.
-
- Physical Therapist
- East Brunswick, NJ
- NPI 1215985585
-
- Physical Therapist
- Somerset, NJ
- NPI 1528392123
-
- Physical Medicine & Rehabilitation Physician
- Kendall Park, NJ
- NPI 1780181800
-
- Physical Therapist
- Union, NJ
- NPI 1770214959
-
- Physical Therapist
- Kendall Park, NJ
- NPI 1548855935
-
- Physical Therapist
- Kendall Park, NJ
- NPI 1205885043
-
- Physical Therapist
- Plainsboro, NJ
- NPI 1578066791
-
- Physical Therapist
- Kendall Park, NJ
- NPI 1184673907
-
- Physical Therapist
- East Brunswick, NJ
- NPI 1851060305
-
- Physical Therapist
- Kendall Park, NJ
- NPI 1003003088
-
- Physical Therapist
- Plainsboro, NJ
- NPI 1972954915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393804800000",
"number": "1730138512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 STATE ROUTE 27",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241524",
"telephone_number": "732-297-0032",
"fax_number": "732-418-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 TICES LN",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161337",
"telephone_number": "732-418-7033",
"fax_number": "732-418-7011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY PHYSICAL THERAPY OF MILLTOWN/EAST BRUNSWICK",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2014-03-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "732-418-7033",
"authorized_official_credential": "PT, MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7074461",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.