Active NPI
Michael Albert Giumetti, PTA LICENSE
- Physical Therapy Assistant
- Sewell, NJ
National Provider Identifier
1861695223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00181600
- Practice address
- 535 Egg Harbor Rd
Sewell, NJ 08080-2335 - Phone
- (856) 582-2688
- NPI assigned
- Jun 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00181600 | NJ | Primary |
| Physical Therapy Assistant | 225200000X | TE005708L | PA |
Addresses
Primary practice location
535 Egg Harbor Rd
Sewell, NJ 08080-2335
Mailing address
360 Valley Ave Apt 56
Hammonton, NJ 08037-1661
Phone (609) 704-9585
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00181600 | NJ | MD | Physical Therapy Assistant |
| TE005708L | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861695223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 VALLEY AVE APT 56",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080371661",
"telephone_number": "609-704-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 EGG HARBOR RD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802335",
"telephone_number": "856-582-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIUMETTI",
"first_name": "MICHAEL",
"middle_name": "ALBERT",
"credential": "PTA LICENSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00181600",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE005708L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.