Individual provider Active NPI

Ann Riesenman, PT

  • Physical Therapist
  • Franklin, NJ
National Provider Identifier
1801958723
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00365400 Issued in NJ
Practice address
406 Route 23
Suite 4
Franklin, NJ 07416-2132
Phone
(973) 209-0030
Fax
(973) 209-0095
NPI assigned
Dec 15, 2006
Last updated
Sep 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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 40QA00365400 NJ Primary

Addresses

Primary practice location

406 Route 23
Suite 4
Franklin, NJ 07416-2132

Mailing address

103 Heritage LN
Hamburg, NJ 07419-1357
Phone (973) 209-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00365400NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1801958723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HERITAGE LN",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191357",
            "telephone_number": "973-209-0030",
            "fax_number": "973-209-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ROUTE 23",
            "address_2": "SUITE 4",
            "city": "FRANKLIN",
            "state": "NJ",
            "postal_code": "074162132",
            "telephone_number": "973-209-0030",
            "fax_number": "973-209-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESENMAN",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00365400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.