JEFFREY NICHEPORUCK (DPT) – Physical Therapist, NPI 1336822873

JEFFREY NICHEPORUCK (DPT) is a healthcare provider. based in Hamilton, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 40QA02169800 (NJ). The NPI Number for JEFFREY NICHEPORUCK (DPT) is 1336822873

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY NICHEPORUCK (DPT)
NPI
1336822873
Phone
(609) 585-2333
Address
1900 ARENA DR
Enumeration Date
10 August 2023
Last Update Date
10 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095852333
Graduation Year
2023 (3 years ago)
PAC ID
7416301643
Group Practice PAC ID
0648206029
Professional Enrollment ID
I20230921003413
Address ID
NJ086102426HA1900XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for JEFFREY NICHEPORUCK (DPT)

  • 1900 ARENA DR

    HAMILTON, NJ 086102426

    Phone: (609) 585-2333

    Fax: (609) 585-6522

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230921003413IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12822$0
97140Therapy procedure using manual technique, each 15 minutes5119$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4518$0
97530Therapy procedure using functional activities3311$0
97535Training for self-care or home management, each 15 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 08610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648206029View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What is JEFFREY NICHEPORUCK (DPT)'s NPI number?
JEFFREY NICHEPORUCK (DPT)'s NPI is 1336822873 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JEFFREY NICHEPORUCK (DPT)?
For scheduling context, JEFFREY NICHEPORUCK (DPT) is shown as active in the registry.
What clinical focus is listed for JEFFREY NICHEPORUCK (DPT)?
At a glance, JEFFREY NICHEPORUCK (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in New Jersey is JEFFREY NICHEPORUCK (DPT) registered?
Use Hamilton, New Jersey as the headline location for JEFFREY NICHEPORUCK (DPT) here.
Does JEFFREY NICHEPORUCK (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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