Individual provider Active NPI

Jennifer Carlisle, DPT

  • Physical Therapist
  • Brick, NJ
National Provider Identifier
1750660569
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01400900 Issued in NJ
Practice address
107 S Hampton PL
Brick, NJ 08724-3862
Phone
(732) 672-9554
Fax
(732) 295-1749
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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 40QA01400900 NJ Primary

Addresses

Primary practice location

107 S Hampton PL
Brick, NJ 08724-3862

Mailing address

107 S Hampton PL
Brick, NJ 08724-3862
Phone (732) 672-9554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000039 NJ Practitioner - Physical Therapist in Private Practice 2466623632 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Apr 15, 2023 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Oct 27, 2023 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Balance Chiropractic & Wellness Center, LLC CurrentSince Apr 17, 2017 Accepting new patients
Pinnacle Rehabilitation & Sports Medicine,LLP Physical Therapist CurrentSince Apr 17, 2019 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Oct 27, 2023 Accepting new patients

Locations

2211 Route 88 E
Ste 2B
Brick, NJ 08724
Phone (732) 903-2222

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

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

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

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

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

2809 Route 88
Point Pleasant Boro, NJ 08742
Phone (732) 475-6745

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

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

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

953 Fischer Blvd
Ste 1
Toms River, NJ 08753
Phone (732) 795-6040

175 Route 37 W
#R
Toms River, NJ 08755

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 8

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1750660569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S HAMPTON PL",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243862",
            "telephone_number": "732-672-9554",
            "fax_number": "732-295-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S HAMPTON PL",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243862",
            "telephone_number": "732-672-9554",
            "fax_number": "732-295-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01400900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.