Active NPI
Brigantine Physical Therapy and Fitness LLC
- Physical Therapist
- Brigantine, NJ
National Provider Identifier
1770025157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01663000
- Legal business name
- BRIGANTINE PHYSICAL THERAPY AND FITNESS LLC
- Practice address
- 3103 W Brigantine Ave
Brigantine, NJ 08203-1655 - Phone
- (302) 373-3767
- NPI assigned
- Nov 16, 2016
- Last updated
- Dec 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Danaher
- Title
- Managing Director
- Phone
- (302) 373-3767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01663000 | NJ | Primary |
Addresses
Primary practice location
3103 W Brigantine Ave
Brigantine, NJ 08203-1655
Mailing address
312 S 26TH St
Brigantine, NJ 08203-1845
Phone (302) 373-3767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3103 W Brigantine Ave
Brigantine, NJ 08203
Phone (609) 264-5403
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Physical Therapist
- Burlington, NJ
- NPI 1861109399
-
- Physical Therapist
- Brigantine, NJ
- NPI 1104229244
-
- Physical Therapist
- Northfield, NJ
- NPI 1871108530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1770025157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S 26TH ST",
"city": "BRIGANTINE",
"state": "NJ",
"postal_code": "082031845",
"telephone_number": "302-373-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 W BRIGANTINE AVE",
"city": "BRIGANTINE",
"state": "NJ",
"postal_code": "082031655",
"telephone_number": "302-373-3767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGANTINE PHYSICAL THERAPY AND FITNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-16",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "DANAHER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "302-373-3767"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01663000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brigantine, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.