Active NPI
Marvin Antonio
- Physical Therapist
- Toms River, NJ
National Provider Identifier
1982206132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01712600
- Practice address
- 1750 NJ-37
Toms River, NJ 08757 - Phone
- (732) 914-0090
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01712600 | NJ | Primary |
Addresses
Primary practice location
1750 NJ-37
Toms River, NJ 08757
Mailing address
903 Alpine St
Forked River, NJ 08731-1152
Other practice location 1
4 Plaza Dr
Toms River, NJ 08757-3756
Phone (732) 240-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01712600 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1982206132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 ALPINE ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087311152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 NJ-37",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08757",
"telephone_number": "732-914-0090"
}
],
"practiceLocations": [
{
"address_1": "4 Plaza Dr",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087573756",
"country_code": "US",
"telephone_number": "732-240-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTONIO",
"first_name": "MARVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01712600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.