Bradley Puglisi, PT, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

40QA01811500 Issued in NJ

Practice address

1236 Audubon Dr
Toms River, NJ 08753-3903

Phone

(732) 575-3275

NPI assigned

Jan 30, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Forever Active Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Palm Coast, FL
  • NPI 1316662364

  Geriatrics

  Medicare reassignment NPD Authorized official
• Anil K Gupta MD PA

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1669459319
  NPD (past)
• Ultima Rehab-NJ LLC

  • Geriatric Physical Therapist
  • Wall Township, NJ
  • NPI 1427426485

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1821552100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 AUDUBON DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533903",
            "telephone_number": "732-575-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 AUDUBON DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533903",
            "telephone_number": "732-575-3275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Pearlcroft Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343334",
            "country_code": "US",
            "telephone_number": "609-509-2388",
            "fax_number": "267-790-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGLISI",
        "first_name": "BRADLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA01811500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT.com",
            "affiliation": "N",
            "endpointDescription": "WebPT EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1236 Audubon Dr",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087533903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Providence Chiropractic and Rehab Center
• PSM Healthcare Services LLC
• Psychiatronics LLC
• Psychological & Behavioral HLTH Ctr George a Peters
• PT at Toms LLC
• Leanna Marie Pujols
• Pulmonary Diagnostic Services LLC
• Pulmonary Diagnostic Services LLC
• Angela Puma
• Pankaj Puri, DDS

• Geriatric Physical Therapist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Geriatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.