Jeffrey S. Mannheimer, PT, PHD, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00083100 Issued in NJ

Legal business name

JEFFREY S. MANNHEIMER, PT, PHD, PC

Practice address

88 Orchard Road
Suite 11 in the Carriage House
Skillman, NJ 08558

Phone

(908) 262-7104

Fax

(908) 829-4913

NPI assigned

Jul 5, 2018

Last updated

Jul 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Mannheimer, PT, PH.D

Title

President/Owner

Phone

(908) 262-7104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1750877544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ORCHARD ROAD",
            "address_2": "SUITE 11 IN THE CARRIAGE HOUSE",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "08558",
            "telephone_number": "908-262-7104",
            "fax_number": "908-829-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ORCHARD ROAD",
            "address_2": "SUITE 11 IN THE CARRIAGE HOUSE",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "08558",
            "telephone_number": "908-262-7104",
            "fax_number": "908-829-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. MANNHEIMER, PT, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "MANNHEIMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "908-262-7104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PH.D"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00083100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.