Individual provider Active NPI

Tiffany N Spoltore, DPT

  • Physical Therapist
  • Marmora, NJ
National Provider Identifier
1740410562
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01318000 Issued in NJ
Practice address
210 S Shore Rd
Suite 203
Marmora, NJ 08223-1200
Phone
(609) 390-2400
Fax
(609) 390-9587
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01318000 NJ Primary

Addresses

Primary practice location

210 S Shore Rd
Suite 203
Marmora, NJ 08223-1200

Mailing address

210 S Shore Rd
Suite 203
Marmora, NJ 08223-1200
Phone (609) 390-2400

Other practice location 1

24 MacArthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Other names 1

  • Tiffany N Weaver Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000192 NJ Practitioner - Physical Therapist in Private Practice 8628123767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

210 S Shore Rd
Suite 203
Marmora, NJ 08223-1263
Phone (609) 390-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Ivyrehab Network, Inc. Physical Therapist Past Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

733 Route 72 W
Unit 15E
Stafford Township, NJ 08050
Phone (267) 261-3730

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1740410562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S SHORE RD",
            "address_2": "SUITE 203",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231200",
            "telephone_number": "609-390-2400",
            "fax_number": "609-390-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S SHORE RD",
            "address_2": "SUITE 203",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231200",
            "telephone_number": "609-390-2400",
            "fax_number": "609-390-9587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082441776",
            "country_code": "US",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOLTORE",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2021-02-11",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01318000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WEAVER",
            "middle_name": "N",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.