Individual provider Active NPI

Patricia Brick, PT

  • Physical Therapist
  • Ventnor City, NJ
National Provider Identifier
1992919369
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00836800 Issued in NJ
Practice address
509 N Cornwall Ave
Ventnor City, NJ 08406-1357
Phone
(609) 513-0979
NPI assigned
May 9, 2007
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 40QA00836800 NJ Primary

Addresses

Primary practice location

509 N Cornwall Ave
Ventnor City, NJ 08406-1357

Mailing address

509 N Cornwall Ave
Ventnor City, NJ 08406-1357
Phone (609) 513-0979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pbrick@TLC-Rehab.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060301000701 NJ Practitioner - Physical Therapist in Private Practice 4789690652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00836800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Living Consultants, PC Physical Therapist CurrentSince May 18, 2005 Accepting new patients
Therapy Choice, LLC Physical Therapist PastSince Oct 24, 1998 Accepting new patients

Locations

1418 New Rd
Ste 2
Northfield, NJ 08225
Phone (609) 645-8282

1418 New Rd
Ste 3
Northfield, NJ 08225
Phone (609) 645-8182

Interoperability endpoints

  • Direct secure messaging: pbrick@tlc-rehab.com

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, 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1992919369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N CORNWALL AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061357",
            "telephone_number": "609-513-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N CORNWALL AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061357",
            "telephone_number": "609-513-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICK",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00836800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pbrick@TLC-Rehab.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 N Cornwall Ave",
            "city": "Ventnor City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "084061357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.