Dr James M Tholany, DPT - Medicare Physical Therapist in Lawrenceville, NJ

Dr James M Tholany, DPT is a medicare enrolled "Physical Therapist" provider in Lawrenceville, New Jersey. His current practice location is 4056 Quakerbridge Rd, Suite 111, Lawrenceville, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 588-8600.

Dr James M Tholany is licensed to practice in New Jersey (license number 40QA01359200) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467768176.

Contact Information

Dr James M Tholany, DPT
4056 Quakerbridge Rd, Suite 111,
Lawrenceville, NJ 08648-4779
(609) 588-8600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr James M Tholany
GenderMale
SpecialityPhysical Therapist
Location4056 Quakerbridge Rd, Lawrenceville, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467768176
  • Provider Enumeration Date: 08/19/2010
  • Last Update Date: 08/19/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2466640867
  • Enrollment ID: I20101229000997

Medical Identifiers

Medical identifiers for Dr James M Tholany such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467768176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 40QA01359200 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James M Tholany allows following entities to bill medicare on his behalf.
Provider NameParagon Sport Spine & Wellness Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1275191090
PECOS PAC ID: 1153658299
Enrollment ID: O20190812002453

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James M Tholany is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James M Tholany, DPT
4056 Quakerbridge Rd, Suite 111,
Lawrenceville, NJ 08648-4779

Ph: (609) 588-8600
Dr James M Tholany, DPT
4056 Quakerbridge Rd, Suite 111,
Lawrenceville, NJ 08648-4779

Ph: (609) 588-8600

Reviews and Comments


Physical Therapist in Lawrenceville, NJ

Meghan Dearstyne,
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Practice Location: 2500 Brunswick Pike, Lawrenceville, NJ 08648
Phone: 609-912-0333    Fax: 609-912-0230
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Practice Location: 112 Franklin Corner Rd, Lawrenceville, NJ 08648
Phone: 609-896-1494    
Margarita Munoz, PT, DPT
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Medicare: Accepting Medicare Assignments
Practice Location: 4056 Quakerbridge Rd Ste 108, Lawrenceville, NJ 08648
Phone: 609-586-3638    
Mr. Richard Tony Kauffman, B.S., M.P.T
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 123 Franklin Corner Rd, Suite 103, Lawrenceville, NJ 08648
Phone: 609-896-9054    Fax: 609-896-9059
Mr. John J Fisher, MSPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3131 Princeton Pike, Bldg 4, Suite 100, Lawrenceville, NJ 08648
Phone: 609-896-4128    Fax: 609-896-0962

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.