Individual provider Active NPI

Mark Andrew Cregle, PT

  • Physical Therapist
  • Sea Girt, NJ
National Provider Identifier
1982646964
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00646600 Issued in NJ
Practice address
2123 Route 35
Sea Girt, NJ 08750-1003
Phone
(732) 449-2001
Fax
(732) 449-2238
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0004848 CO
Physical Therapist 225100000X PT-0495 WY
Physical Therapist 225100000X PTL9444 MA
Physical Therapist 225100000X PT002970E PA
Physical Therapist 225100000X 274690-2401 UT
Physical Therapist 225100000X LPT-002845 AZ
Physical Therapist 225100000X 5183 CT
Physical Therapist 225100000X 40QA00646600 NJ Primary

Addresses

Primary practice location

2123 Route 35
Sea Girt, NJ 08750-1003

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 463-3052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000316 NJ Practitioner - Physical Therapist in Private Practice 5496753667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, 163 clinicians

Practice addresses (Care Compare)

2123 Hwy 35
Sea Girt, NJ 08750-1003
Phone (732) 449-2001

400 Route 530
Whiting, NJ 08759-2942
Phone (732) 350-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-002845AZMDPhysical Therapist
PTL.0004848COMDPhysical Therapist
PTL9444MAMDPhysical Therapist
PT002970EPAMDPhysical Therapist
274690-2401UTMDPhysical Therapist
PT-0495WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Two River Physical Therapy of Ocean, LLC Physical Therapist CurrentSince Nov 22, 2006 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Jan 2, 2024 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

1800 State Route 35
Ste 4
Oakhurst, NJ 07755
Phone (732) 517-3386

2123 Route 35
Sea Girt, NJ 08750
Phone (732) 449-2001

400 Route 530
Whiting, NJ 08759
Phone (732) 350-8222

Organizations & group practices 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1982646964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "856-463-3052",
            "fax_number": "812-590-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 ROUTE 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501003",
            "telephone_number": "732-449-2001",
            "fax_number": "732-449-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGLE",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0004848",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-0495",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL9444",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002970E",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "274690-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-002845",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "5183",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00646600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.