Organization Active NPI

CMH Physical Therapy

  • Physical Therapist
  • Belmar, NJ
National Provider Identifier
1750817318
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00722000 Issued in NJ
Legal business name
CMH PHYSICAL THERAPY
Practice address
1717 Main St
Belmar, NJ 07719-3096
Phone
(510) 301-7992
Fax
(732) 741-3126
NPI assigned
May 2, 2017
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
CHI Man Hung, PTNPI 1770642654
Title
Owner
Phone
(510) 301-7992

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 016652 NY
Physical Therapist 225100000X 40QA00722000 NJ Primary

Addresses

Primary practice location

1717 Main St
Belmar, NJ 07719-3096

Mailing address

305 Princeton CT
Shrewsbury, NJ 07702-4058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509000884 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345627527 Receives reassigned benefits from 1 practitioner
Practice locations: Belmar, NJ

National Provider Directory

National Provider Directory

Locations

1717 Main St
Unit 101
Lake Como, NJ 07719
Phone (510) 301-7992

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1750817318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PRINCETON CT",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077193096",
            "telephone_number": "510-301-7992",
            "fax_number": "732-741-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "HUNG",
        "authorized_official_first_name": "CHI MAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-301-7992",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016652",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00722000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.

Verify at the official NPI Registry.