Individual provider Active NPI

Gregory James Cheeseman Jr., PT, DPT

  • Physical Therapist
  • Barnegat, NJ
National Provider Identifier
1932893146
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02173000 Issued in NU
Practice address
770 Lighthouse Dr Unit 170
Barnegat, NJ 08005-2373
Phone
(609) 698-1073
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02173000 NU Primary

Addresses

Primary practice location

770 Lighthouse Dr Unit 170
Barnegat, NJ 08005-2373

Mailing address

27 Pasadena Dr
Hamilton, NJ 08619-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710001782 NJ Practitioner - Physical Therapist in Private Practice 7012376924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnegat Sports Rehabilitation and Physical Therapy LLCGroup PAC ID 8628151693, 13 clinicians

Practice addresses (Care Compare)

770 Lighthouse Dr
Suite 170B
Barnegat, NJ 08005-2374
Phone (609) 698-1073

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
81.84
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barnegat Sports Rehabilitation & Physical Therapy LLC Physical Therapist CurrentSince Jun 14, 2023 Accepting new patients

Locations

770 Lighthouse Dr
Barnegat, NJ 08005
Phone (609) 339-7160

770 Lighthouse Dr
Ste 170B
Barnegat, NJ 08005
Phone (609) 698-1073

770 Lighthouse Dr
Unit 170
Barnegat, NJ 08005
Phone (609) 698-1073

602 Route 72 E
Ste 3
Manahawkin, NJ 08050
Phone (609) 549-5015

Organizations & group practices 1

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1932893146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PASADENA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LIGHTHOUSE DR UNIT 170",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052373",
            "telephone_number": "609-698-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEESEMAN",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "40QA02173000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.