Individual provider Active NPI

Gabriel Eisner

  • Physical Therapist
  • Bedminster, NJ
National Provider Identifier
1780060749
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01614200 Issued in NJ
Practice address
703 Timberbrooke Dr
Bedminster, NJ 07921-2111
Phone
(908) 420-2240
NPI assigned
Jul 31, 2015
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 40QA01614200 NJ Primary

Addresses

Primary practice location

703 Timberbrooke Dr
Bedminster, NJ 07921-2111

Mailing address

703 Timberbrooke Dr
Bedminster, NJ 07921-2111
Phone (908) 420-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, MI, WI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200916001654 NJ Practitioner - Physical Therapist in Private Practice 0840618286 Reassigns benefits to 5 organizations
I20240326000898 FL Practitioner - Physical Therapist in Private Practice 0840618286 Reassigns benefits to 1 organization
I20250911000383 MI Practitioner - Physical Therapist in Private Practice 0840618286 Reassigns benefits to 2 organizations
I20250919000215 WI Practitioner - Physical Therapist in Private Practice 0840618286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 Douglas Blvd
Suite 170
Roseville, CA 95678-3240

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281

703 Timberbrooke Dr
Bedminster, NJ 07921-2111

801 W Big Beaver Rd
Suite 300
Troy, MI 48084-4725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01614200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Protera Health Medical of Michigan PC Physical Therapist CurrentSince Nov 8, 2025 Accepting new patients
Romtherapy Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Romtherapy New Jersey Medical PA CurrentSince Jan 1, 2026 Accepting new patients
Protera Health Medical Group, P.C. Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Romtherapy Kansas Medical PA CurrentSince Jan 15, 2026 Accepting new patients
Romtherapy California Medical PC CurrentSince Jan 1, 2026 Accepting new patients
Romtherapy Connecticut Medical PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

311 Park Place Blvd
Ste 500
Clearwater, FL 33759

43313 Woodward Ave
Bloomfield Township, MI 48302
Phone (248) 242-7960

801 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 658-8424

285 S Moorland Rd
Brookfield, WI 53005
Phone (810) 331-0939

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1780060749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 TIMBERBROOKE DR",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212111",
            "telephone_number": "908-420-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 TIMBERBROOKE DR",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212111",
            "telephone_number": "908-420-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01614200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.