Individual provider Active NPI

Eleazar A Sares, PT

  • Physical Therapist
  • Barnegat, NJ
National Provider Identifier
1780622399
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40AQ01134700 Issued in NJ
Practice address
PO Box 324
Barnegat, NJ 08005-0324
Phone
(732) 290-2299
Fax
(732) 749-8429
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 40AQ01134700 NJ Primary

Addresses

Primary practice location

PO Box 324
Barnegat, NJ 08005-0324

Mailing address

PO Box 324
Barnegat, NJ 08005-0324
Phone (732) 290-2299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060306000481 NJ Practitioner - Physical Therapist in Private Practice 0547235327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40AQ01134700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraworks Physical Therapy and Rehabilitation LLC Physical Therapist CurrentSince Mar 27, 2006 Accepting new patients

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, 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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1780622399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080050324",
            "telephone_number": "732-290-2299",
            "fax_number": "732-749-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080050324",
            "telephone_number": "732-290-2299",
            "fax_number": "732-749-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARES",
        "first_name": "ELEAZAR",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40AQ01134700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.