Boardwalk Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BOARDWALK PHYSICAL THERAPY

Practice address

2204 Highway 35 Ste 7
Sea Girt, NJ 08750-2323

Phone

(646) 321-8759

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Trilling, DPTNPI 1265760573

Title

Owner/Physical Therapist

Phone

(646) 321-8759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Trilling, D.P.T.

  • Specialist
  • West Orange, NJ
  • NPI 1265760573
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1891470936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHELSEA RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263603",
            "telephone_number": "646-321-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 HIGHWAY 35 STE 7",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502323",
            "telephone_number": "646-321-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDWALK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "TRILLING",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-321-8759",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M. Belott, D.D.S.
• Nicole Berardi, LCSW
• Kavita Beri, M.D.
• Louis Michael Bersalona, M.D.
• Debra Anne Blair, R.D., C.D.E.
• Laura Bower, MD
• Braces at Sea Girt LLC
• Lyssa Bramson, M.A.
• Brighter Smiles Family Dental, PA
• Isabelle C Brousse, PT, DPT

• Physical Therapy Clinic/Center in Sea Girt, NJ
• Providers in Sea Girt, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.