MR. JAMES EDWARD MACBETH P.T.
NPI 1922160639
Physical Therapist in Warren, NJ

Active since December 16, 2006Accepts Medicare Assignment
23 MOUNTAIN BLVD, SUITE 1, WARREN, NJ 07059(908) 756-8898(908) 756-8899 Get Directions Write a Review

NPPES record last updated: December 1, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. James Edward Macbeth P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES EDWARD MACBETH P.T. (NPI 1922160639) is an individual physical therapist in Warren, New Jersey, licensed in New Jersey (40QA00572900) and active in the NPI registry since December 2006. He is a graduate of Other (1983).

NPPES Registry Identity

NPI1922160639
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JAMES EDWARD MACBETHCredential: P.T.
Location Address23 MOUNTAIN BLVD, SUITE 1Warren, NJ 07059-5611
Mailing Address23 Mountain Blvd, Suite 1Warren, NJ 07059-5611 · (908) 756-8898 · Fax (908) 756-8899
Fax(908) 756-8899
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateDecember 16, 2006
Last NPPES UpdateDecember 1, 2009
✔ NPI 1922160639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NJ · 40QA00572900
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
23 MOUNTAIN BLVD, Warren, NJ 07059

Other Identifiers 9

OtherTS152NJ · Oxford
Other897317000NJ · Amerihealth
Medicare ID-Type UnspecifiedMA815670NJ
Other6602823NJ · Ghi
Medicare UPINS38951NJ
Other31001NJ · Cignaorthonet
Other650022727NJ · Railroad Medicare
Other552313NJ · Aetna
Other8379444NJ · Cigna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Edward Macbeth P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123174034
PECOS Enrollment IDI20260220000685

Medicare Billing Reassignments

2

Medicare enrollment records show James Macbeth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
180 STATE ST STE 225
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 474 clinicians in this Medicare group
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Nurse Practitioner (Family)
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059
Internal Medicine
23 MOUNTAIN BLVD
WARREN, NJ 07059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Macbeth's NPI number?

The NPI number for James Macbeth is 1922160639. It was assigned to this individual provider in the NPPES registry on December 16, 2006.

Where is James Macbeth located?

James Macbeth practices at 23 Mountain Blvd Suite 1, Warren, NJ 07059. The listed phone number is (908) 756-8898.

What is James Macbeth's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is James Macbeth enrolled in Medicare?

Yes. James Macbeth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Macbeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Macbeth reassigns Medicare benefits to 2 organizations: Texas Luna Care Physical Therapy LLC (Southlake, TX) and Baylor College Of Medicine (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Macbeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Macbeth accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list James Macbeth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Macbeth was last updated on December 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.