Active NPI
Brian D Senn, M.S.P.T
- Physical Therapist
- Somers Point, NJ
National Provider Identifier
1770899379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00832100
- Practice address
- 67 Higbee Ave
Somers Point, NJ 08244-2323 - Phone
- (609) 204-4849
- Fax
- (609) 653-1258
- NPI assigned
- Aug 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00832100 | NJ | Primary |
Addresses
Primary practice location
67 Higbee Ave
Somers Point, NJ 08244-2323
Mailing address
2300 New Rd
Ste 103
Northfield, NJ 08225-1457
Phone (609) 204-4849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA00832100 | Other | NJ | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 New Rd
Suite 103
Northfield, NJ 08225-1457
Phone (609) 204-4849
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00832100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849
Organizations & group practices 1
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": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1770899379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 NEW RD",
"address_2": "STE 103",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251457",
"telephone_number": "609-204-4849",
"fax_number": "609-653-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 HIGBEE AVE",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442323",
"telephone_number": "609-204-4849",
"fax_number": "609-653-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENN",
"first_name": "BRIAN",
"middle_name": "D",
"credential": "M.S.P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00832100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "40QA00832100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.