Individual provider Active NPI

Nicholas R O'Brien, PT, DPT

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1831605716
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01768300 Issued in NJ
Practice address
80 S Main Rd Ste 100
Vineland, NJ 08360-7829
Phone
(856) 500-3800
Fax
(856) 213-6549
NPI assigned
Dec 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 40QA01768300 NJ Primary

Addresses

Primary practice location

80 S Main Rd Ste 100
Vineland, NJ 08360-7829

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116001604 NJ Practitioner - Physical Therapist in Private Practice 4082973284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

415 W Landis Ave
Suite 101a
Vineland, NJ 08360-8135
Phone (856) 500-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01768300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Dec 26, 2017 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Dec 26, 2017 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Aug 9, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

20 Commerce Dr
Ste 210
Cranford, NJ 07016

3121 Fire Rd
Ste D
Egg Hbr Twp, NJ 08234
Phone (609) 377-8881

323 S Pitney Rd
Unit 201
Galloway, NJ 08205
Phone (609) 652-3774

1168 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-6092

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

224 Strawbridge Dr
Ste 100
Moorestown, NJ 08057
Phone (856) 677-4000

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

1430 Hooper Ave
Ste 201
Toms River, NJ 08753
Phone (732) 255-7888

80 S Main Rd
Ste 100
Vineland, NJ 08360
Phone (856) 500-3800

415 W Landis Ave
Ste 101A
Vineland, NJ 08360
Phone (856) 500-3800

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, 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": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1831605716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN RD STE 100",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607829",
            "telephone_number": "856-500-3800",
            "fax_number": "856-213-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01768300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.