SPINE & SPORTS MEDICINE OF FREEHOLD, LLC
NPI 1952878019
Physical Medicine & Rehabilitation in Freehold, NJ

Active since October 26, 2018
1050 W MAIN ST, FREEHOLD, NJ 07728(732) 475-4959(732) 780-7139 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2024, Oct 26, 2018 (2 updates tracked since 2018).

About Spine & Sports Medicine Of Freehold, Llc NPPES

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

SPINE & SPORTS MEDICINE OF FREEHOLD, LLC (NPI 1952878019) is a healthcare organization registered as a physical medicine & rehabilitation in Freehold, New Jersey and active in the NPI registry since October 2018. The organization lists Nicole Fullaway, Director, as its authorized official.

NPPES Registry Identity

NPI1952878019
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameSPINE & SPORTS MEDICINE OF FREEHOLD, LLC
Location Address1050 W MAIN STFreehold, NJ 07728-2509
Mailing Address1050 W Main StFreehold, NJ 07728-2509
Fax(732) 780-7139
Organization SubpartNo
Authorized OfficialNicole FullawayDirector · (732) 714-0070
Enumeration DateOctober 26, 2018
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1952878019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysical TherapistTaxonomy 225100000X
1050 W MAIN ST, Freehold, NJ 07728

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine & Sports Medicine Of Freehold, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Spine & Sports Medicine Of Freehold, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Chiropractic7
Occupational Therapist in Private Practice4
Physical Medicine and Rehabilitation4
Physical Therapist in Private Practice4
Interventional Pain Management1
Nurse Practitioner1

Nearest to this location (20)

See all 21
Physical Therapist in Private Practice
NPI 1295670974
1050 W MAIN ST
Freehold, NJ 07728
(732) 475-4959
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1578402715
1050 W MAIN ST
Freehold, NJ 07728
(732) 475-4959
Same address
Physical Therapist in Private Practice
NPI 1366398323
1050 W MAIN ST
Freehold, NJ 07728
(732) 475-4959
✔ Accepts MedicareSame address
Chiropractic
NPI 1770339327
1050 W MAIN ST
Freehold, NJ 07728
(732) 475-4959
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1215801097
1050 W MAIN ST
Freehold, NJ 07728
(732) 475-4959
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1821442443
689 W MAIN ST
Freehold, NJ 07728
(732) 431-5200
✔ Accepts Medicare0.4 mi
Physical Therapist in Private Practice
NPI 1093927774
12 WAVERLY PLACE
Freehold, NJ 07728
(732) 308-4454
✔ Accepts Medicare2.3 mi
Chiropractic
NPI 1235108838
728 BENNETTS MILLS RD SUITE 1
Jackson, NJ 08527
(732) 415-1401
✔ Accepts Medicare7.7 mi
Chiropractic
NPI 1417511304
186 COUNTY ROAD 520 STE 1
Morganville, NJ 07751
(732) 972-6010
✔ Accepts Medicare8.1 mi
Chiropractic
NPI 1184684482
1104 ARNOLD AVE
Point Pleasant Beach, NJ 08742
(732) 714-0070
✔ Accepts Medicare17 mi
Physical Medicine and Rehabilitation
NPI 1306018668
1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742
(732) 714-0070
✔ PECOS✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1235442690
1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742
(732) 714-0070
✔ Accepts Medicare17 mi
Interventional Pain Management
NPI 1538693544
1104 ARNOLD AVE
Point Pleasant, NJ 08742
(732) 714-0070
✔ PECOS✔ Accepts Medicare17 mi
Physical Medicine and Rehabilitation
NPI 1780188425
1104 ARNOLD AVE
Point Pleasant Boro, NJ 08742
(732) 714-0070
✔ PECOS✔ Accepts Medicare17 mi
Physical Medicine and Rehabilitation
NPI 1275859217
4056 QUAKERBRIDGE RD SUITE #111
Lawrenceville, NJ 08648
(609) 588-8600
✔ PECOS✔ Accepts Medicare19 mi
Occupational Therapist in Private Practice
NPI 1235998485
600 MULE RD
Toms River, NJ 08757
(732) 505-1300
✔ Accepts Medicare19 mi
Physical Medicine and Rehabilitation
NPI 1891910832
367 LAKEHURST RD
Toms River, NJ 08755
(732) 573-6235
✔ PECOS✔ Accepts Medicare20 mi
Chiropractic
NPI 1477132397
424 S MAIN ST
Forked River, NJ 08731
(609) 971-3500
28 mi
Nurse Practitioner
NPI 1932623881
175 GUNNING RIVER RD
Barnegat, NJ 08005
(609) 660-8002
✔ PECOS✔ Accepts Medicare33 mi
Chiropractic
NPI 1326537762
2-22 BANTA PL
Fair Lawn, NJ 07410
(201) 509-8600
✔ Accepts Medicare49 mi
See all 21 clinicians

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

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 Spine & Sports Medicine Of Freehold, LLC's NPI number?

The NPI number for Spine & Sports Medicine Of Freehold, LLC is 1952878019. It was assigned to this organization in the NPPES registry on October 26, 2018.

Where is Spine & Sports Medicine Of Freehold, LLC located?

Spine & Sports Medicine Of Freehold, LLC is located at 1050 W Main St, Freehold, NJ 07728. The listed phone number is (732) 475-4959.

What is Spine & Sports Medicine Of Freehold, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Spine & Sports Medicine Of Freehold, LLC enrolled in Medicare?

Yes. Spine & Sports Medicine Of Freehold, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine & Sports Medicine Of Freehold, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Spine & Sports Medicine Of Freehold, LLC. A 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 the clinician's services. The largest specialties are Chiropractic (7), Occupational Therapist in Private Practice (4) and Physical Medicine and Rehabilitation (4). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine & Sports Medicine Of Freehold, LLC was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.