Individual provider Active NPI

Elaine Martee Mucerino, PT, DPT

  • Physical Therapist
  • Moorestown, NJ
National Provider Identifier
1922727072
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02120400 Issued in NJ
Practice address
740 Marne Hwy Ste 203
Moorestown, NJ 08057-3127
Phone
(856) 914-1400
Fax
(856) 914-1444
NPI assigned
Aug 23, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030723 PA
Physical Therapist 225100000X 40QA02120400 NJ Primary

Addresses

Primary practice location

740 Marne Hwy Ste 203
Moorestown, NJ 08057-3127

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 677-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220913001483 NJ Practitioner - Physical Therapist in Private Practice 1254716137 Reassigns benefits to 1 organization
I20220920000132 PA Practitioner - Physical Therapist in Private Practice 1254716137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Physical and Sports Rehabilitation LLCGroup PAC ID 0042101347, 29 clinicians

Practice addresses (Care Compare)

170 Pheasant Run
FL 2
Newtown, PA 18940-1877
Phone (215) 579-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030723PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Aug 8, 2022 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Bucks Physical & Sports Rehabilitation Physical Therapist PastSince Aug 18, 2025 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

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

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

5479 Pottsville Pike
Ste 200
Leesport, PA 19533
Phone (610) 926-6778

170 Pheasant Run
Fl 2
Newtown, PA 18940
Phone (215) 579-0777

2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1922727072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "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": "740 MARNE HWY STE 203",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573127",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCERINO",
        "first_name": "ELAINE",
        "middle_name": "MARTEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030723",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02120400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.