Individual provider Active NPI

Michael Thomas Mundry I, D.P.T.

  • Sports Physical Therapist
  • Manchester, NJ
National Provider Identifier
1962536078
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
40QA01092400 Issued in NJ
Practice address
1037 Route 70
Manchester, NJ 08759-5806
Phone
(732) 408-1800
Fax
(732) 408-0704
NPI assigned
Mar 14, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 40QA01092400 NJ Primary
Orthopedic Physical Therapist 2251X0800X 40QA01092400 NJ

Addresses

Primary practice location

1037 Route 70
Manchester, NJ 08759-5806

Mailing address

1037 Route 70
Manchester, NJ 08759-5806
Phone (732) 408-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090217000614 NJ Practitioner - Physical Therapist in Private Practice 6103981618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

1037 Route 70
Manchester, NJ 08759-5806
Phone (732) 408-1800

1175 Route 33
Farmingdale, NJ 07727-3797
Phone (848) 249-1199

1837 Old Mill Rd
Wall, NJ 07719-3641
Phone (732) 655-2200

1930 Route 88
Brick, NJ 08724-3153
Phone (732) 965-7900

209 Applegarth Rd
Suite E 108
Monroe, NJ 08831-3842
Phone (732) 992-8200

2512 Tiltons Corner Rd
Wall Township, NJ 07719-9118
Phone (732) 528-3850

3 Paragon Way
Suite 250
Freehold, NJ 07728-9578
Phone (732) 431-2883

3450 Princeton Pike
Suite 130
Lawrenceville, NJ 08648-1206
Phone (609) 302-9090

400 Route 130
East Windsor, NJ 08520-2792
Phone (609) 918-0600

4022-4026 Route 9
Howell, NJ 07731-3315
Phone (732) 835-2055

601 Route 72 E
Manahawkin, NJ 08050-3544
Phone (609) 978-5868

68 White St
Red Bank, NJ 07701-1656
Phone (732) 784-6545

715 Bennetts Mills Rd
Unit 8
Jackson, NJ 08527-3856
Phone (732) 928-8071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01092400NJMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Jan 1, 2008 Accepting new patients
Atlantic Physical Therapy Center Sports CurrentSince Jan 1, 2008 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

209 Applegarth Rd
Ste E108
Monroe, NJ 08831
Phone (732) 992-8200

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

Organizations & group practices 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962536078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-408-1800",
            "fax_number": "732-408-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 ROUTE 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-408-1800",
            "fax_number": "732-408-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDRY",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_suffix": "I",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA01092400",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01092400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.