Individual provider Active NPI

Sheela Iyer, P.T.

  • Physical Therapist
  • Tinton Falls, NJ
National Provider Identifier
1962456665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00575500 Issued in NJ
Practice address
776 Shrewsbury Ave
Tinton Falls, NJ 07724-3006
Phone
(732) 741-0665
Fax
(732) 741-0668
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00575500 NJ Primary

Addresses

Primary practice location

776 Shrewsbury Ave
Tinton Falls, NJ 07724-3006

Mailing address

776 Shrewsbury Ave
Tinton Falls, NJ 07724-3006
Phone (732) 741-0665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000007 NJ Practitioner - Physical Therapist in Private Practice 0648289454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Orthopaedic Assoc PAGroup PAC ID 5597654475, 22 clinicians

Practice addresses (Care Compare)

776 Shrewsbury Ave
Suite 102
Tinton Falls, NJ 07724-3006
Phone (732) 590-4949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00575500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Orthopaedic Assoc PA CurrentSince Sep 1, 2005 Accepting new patients
Professional Orthopedics Assoc Physical Therapist PastSince Sep 1, 2005 Accepting new patients

Locations

776 Shrewsbury Ave
Ste 102
Tinton Falls, NJ 07724
Phone (732) 590-4949

776 Shrewsbury Ave
Ste 201
Tinton Falls, NJ 07724
Phone (732) 530-4949

776 Shrewsbury Ave
Tinton Falls, NJ 07724
Phone (732) 530-4949

776 Shrewsbury Ave
Ste 105
Tinton Falls, NJ 07724
Phone (732) 530-4949

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962456665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-741-0665",
            "fax_number": "732-741-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-741-0665",
            "fax_number": "732-741-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "SHEELA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00575500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.