Organization Active NPI

Isle of Wellness Physical Therapy and Rehabilitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Stone Harbor, NJ
National Provider Identifier
1891396339
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ISLE OF WELLNESS PHYSICAL THERAPY AND REHABILITATION, LLC
Practice address
9501 3Rd Ave Unit 5
Stone Harbor, NJ 08247-1967
Phone
(609) 600-7292
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Melissa Musser, PT, DPTNPI 1639576796
Title
Owner
Phone
(609) 224-0185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

9501 3Rd Ave Unit 5
Stone Harbor, NJ 08247-1967

Mailing address

9501 3Rd Ave Unit 5
Stone Harbor, NJ 08247-1967
Phone (609) 600-7292

National Provider Directory

National Provider Directory

Locations

9501 3rd Ave
Unit 5
Stone Harbor, NJ 08247
Phone (609) 600-7292

9501 3rd Ave
Ste 5
Stone Harbor, NJ 08247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1891396339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 3RD AVE UNIT 5",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471967",
            "telephone_number": "609-600-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 3RD AVE UNIT 5",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471967",
            "telephone_number": "609-600-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLE OF WELLNESS PHYSICAL THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MUSSER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-224-0185",
        "authorized_official_credential": "PT,  DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Harbor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.