Jill Sherrard Rea, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00933900 Issued in NJ

Practice address

1900 Arena Dr
Hamilton, NJ 08610-2409

Phone

(609) 585-2333

Fax

(609) 585-6522

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Perk Physical Therapy and Sports Rehab, IncGroup PAC ID 8527053859, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Upper Perk Physical Therapy & Sports Rehab., Inc

  • Physical Therapist
  • Pennsburg, PA
  • NPI 1497700710

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bowers Rehabilitation Services

  • Physical Therapist
  • Langhorne, PA
  • NPI 1689616146
  NPD (past)
• Southeastern Health Services of Pennsylvania, LLC

  • Home Health Agency
  • Bristol, PA
  • NPI 1518901610
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1891762274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ARENA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086102409",
            "telephone_number": "609-585-2333",
            "fax_number": "609-585-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ARENA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086102409",
            "telephone_number": "609-585-2333",
            "fax_number": "609-585-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "JILL",
        "middle_name": "SHERRARD",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013946L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00933900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011231150001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001423766",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2109683000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Avery Rauschendorfer, LSW
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• Agha Sadeq Razvi, MD
• Lisa Denise Reardon
• Chandler Rebernik, BA
• Sumitha R. Reddy, MD
• Vijaya Potharlanka Redlich, DO
• Refocus Eye Health of NJ, P.C.

• Physical Therapist in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.