Active NPI
Michael Thomas Mundry I, D.P.T.
- Sports Physical Therapist
- Manchester, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 40QA01092400
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01092400 | NJ | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Physical Therapy Center | Current | Accepting new patients | |
| Atlantic Physical Therapy Center | Sports | Current | 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.
-
- Hand Occupational Therapist
- Oakhurst, NJ
- NPI 1659945228
-
- Multi-Specialty Clinic/Center
- Manahawkin, NJ
- NPI 1396277083
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.