Active NPI
Jessica Nicole D'Angelo, DPT
- Physical Therapist
- Jackson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01945200
- Practice address
- 728 Bennetts Mills Rd
Jackson, NJ 08527-3850 - Phone
- (732) 415-1401
- Fax
- (732) 415-1403
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- 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 | 40QA01945200 | NJ | Primary |
Addresses
Primary practice location
728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Mailing address
5 Swallow Tail CT
Jackson, NJ 08527-2872
Phone (732) 832-1936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 72.19 of 100
- Quality
- 42.79
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 68.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01945200 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine Care and Physical Rehabilitation,LLC | Current | Accepting new patients | |
| Seaview Orthopaedics & Medical Associates LLP | Physical Therapist | Current | Accepting new patients |
| Seaview Orthopaedics & Medical Associates LLP | Current | Accepting new patients | |
| Spine & Sports Medicine of Freehold, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866
1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866
728 Bennetts Mills Rd
Jackson, NJ 08527
Phone (732) 415-1401
728 Bennetts Mills Rd
Ste 1
Jackson, NJ 08527
Phone (732) 415-1401
1200 Eagle Ave
Ocean, NJ 07712
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Jackson, NJ
- NPI 1891816914
-
- Orthopaedic Surgery Physician
- Ocean, NJ
- NPI 1982618757
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
NJ
-
- Orthopaedic Surgery Physician
- East Brunswick, NJ
- NPI 1356215867
-
- Physical Medicine & Rehabilitation Physician
- Freehold, NJ
- NPI 1952878019
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1790397289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SWALLOW TAIL CT",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085272872",
"telephone_number": "732-832-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 BENNETTS MILLS RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085273850",
"telephone_number": "732-415-1401",
"fax_number": "732-415-1403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANGELO",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01945200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.