Jonathan Boyd
Individual provider Active NPI Orthopedic Physical Therapist · Williamstown, NJ
NPI 1750151932 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1750151932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 40QA02229200 (NJ)
- Practice address
- 1155 S Black Horse Pike
Williamstown, NJ 08094-2095 - Phone
- (856) 513-3871
- NPI assigned
- Jan 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ipta Clinical, LLC
Practice addresses (Care Compare)
1155 S Black Horse Pike
Unit B
Williamstown, NJ 08094-1958
Phone (856) 335-4938
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240205003085 | NJ | Practitioner - Physical Therapist in Private Practice | 0840633079 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02229200 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipta Clinical, LLC | Orthopedic | Current |
Accepting new patients |
| 3 Dimensional Physical Therapy - Pelvic Health LLC | Past |
Accepting new patients |
Locations
175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750
1155 S Black Horse Pike
Ste B
Williamstown, NJ 08094
Phone (856) 335-4938
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA02229200 | NJ | Yes |
Addresses
Primary practice location
1155 S Black Horse Pike
Williamstown, NJ 08094-2095
Mailing address
29 Linden Ave
Pitman, NJ 08071-2107
Phone (856) 716-3111
Other providers in Williamstown, NJ
- Janki Bharwada
- Arman H Bhuiyan
- Kamalpreet Bhullar
- Blessed Hands Home Health Care
- Blessed Paths LLC
- Christalyn Bradshaw
- Frances Brennan
- Kaneice Bridges
- Bright Thinkers LLC
- David M. Briller
All providers in Williamstown, NJ · Orthopedic Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.