Individual provider Active NPI

Dawn Nagy, DPT

  • Physical Therapist
  • Brick, NJ
National Provider Identifier
1942588819
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01404600 Issued in NJ
Practice address
1640 Route 88 W
Suite 100
Brick, NJ 08724-3068
Phone
(732) 458-7866
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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 40QA01404600 NJ Primary
Massage Therapist 225700000X

Addresses

Primary practice location

1640 Route 88 W
Suite 100
Brick, NJ 08724-3068

Mailing address

504 Monmouth Ave Rear
Bradley Beach, NJ 07720-1151
Phone (732) 567-7974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928001200 CT Practitioner - Physical Therapist in Private Practice 4789854761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT of Connecticut PLLCGroup PAC ID 5395134852, 11 clinicians

Practice addresses (Care Compare)

499 B Westport Ave
Norwalk, CT 06851-4411
Phone (475) 470-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01404600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT of Connecticut PLLC Physical Therapist CurrentSince Sep 21, 2023 Accepting new patients
Connecticut Family Physical Therapy LLC CurrentSince Jun 19, 2023 Accepting new patients

Locations

499 Westport Ave
#B
Norwalk, CT 06851
Phone (475) 470-0400

735 Post Rd E
Westport, CT 06880
Phone (203) 227-5431

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1942588819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MONMOUTH AVE REAR",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201151",
            "telephone_number": "732-567-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88 W",
            "address_2": "SUITE 100",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243068",
            "telephone_number": "732-458-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY",
        "first_name": "DAWN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01404600",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.