Individual provider Active NPI

Thomas Lawrence Sacerdote

  • Physical Rehabilitation Occupational Therapist
  • Jackson, NJ
National Provider Identifier
1942186341
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Practice address
728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone
(732) 415-1401
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Physical Rehabilitation Occupational Therapist 225XP0019X Primary

Addresses

Primary practice location

728 Bennetts Mills Rd
Jackson, NJ 08527-3850

Mailing address

26 Saxony Cir
Manchester Township, NJ 08759-6193
Phone (908) 601-4763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102000552 NJ Practitioner - Occupational Therapist in Private Practice 0547756264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine Care and Physical Rehabilitation,LLCGroup PAC ID 0749269637, 16 clinicians

Practice addresses (Care Compare)

728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone (732) 415-1401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine Care and Physical Rehabilitation,LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

2080 W County Line Rd
Jackson, NJ 08527
Phone (732) 364-5123

728 Bennetts Mills Rd
Jackson, NJ 08527
Phone (732) 415-1401

728 Bennetts Mills Rd
Ste 1
Jackson, NJ 08527
Phone (732) 415-1401

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1942186341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SAXONY CIR",
            "city": "MANCHESTER TOWNSHIP",
            "state": "NJ",
            "postal_code": "087596193",
            "telephone_number": "908-601-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273850",
            "telephone_number": "732-415-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACERDOTE",
        "first_name": "THOMAS",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.