MICHAEL JOHN DONOGHUE (PT ATC) – Physical Therapist, NPI 1619902897

MICHAEL JOHN DONOGHUE (PT ATC) is a healthcare provider. based in Tabernacle, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT ATC. They hold a License No. 40QA00400900 (NJ). The NPI Number for MICHAEL JOHN DONOGHUE (PT ATC) is 1619902897

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOHN DONOGHUE (PT ATC)
NPI
1619902897
Phone
(609) 268-1915
Address
14 CUTTS DR
Enumeration Date
12 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7324081800
Graduation Year
2008 (18 years ago)
PAC ID
3779632724
Group Practice PAC ID
8820168123
Professional Enrollment ID
I20250729002574
Address ID
NJ087595806MA1037X70XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

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Provider Addresses for MICHAEL JOHN DONOGHUE (PT ATC)

  • 14, Cutts Drive, Hidden Acres, Tabernacle Township, Burlington County, New Jersey, 08088, United States

    TABERNACLE, NJ 080888656

    Phone: (609) 268-1915

    Type: Mailing

  • 1007, Mantua Pike, Woodbury Heights, Gloucester County, New Jersey, 08097, United States

    WOODBURY, NJ 080963963

    Phone: (856) 845-1253

    Fax: (856) 845-3779

    Type: Location

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: 2025-07-29

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
I20250729002574IPhysical 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 minutes96849$0
97140Therapy procedure using manual technique, each 15 minutes36440$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care14927$0
97530Therapy procedure using functional activities11914$0
97535Training for self-care or home management, each 15 minutes5238$0
View full utilization report →

Insurance plans in this area (ZIP 08088)

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Provider's Procedures

MICHAEL JOHN DONOGHUE (PT ATC) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNJ97001Physical therapy evaluation10295
PHYSICAL THERAPYNJ97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes99687

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: 8820168123View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeNJ
-NJ
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeNJ
-NJ
Occupational Therapist In Private PracticeNJ
-NJ

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Frequently asked questions

Can I verify MICHAEL JOHN DONOGHUE (PT ATC) with an NPI only?
You can start verification with NPI 1619902897 for MICHAEL JOHN DONOGHUE (PT ATC), then check state licensing separately.
Can I rely on MICHAEL JOHN DONOGHUE (PT ATC) being an active provider?
As of the registry snapshot, MICHAEL JOHN DONOGHUE (PT ATC) is marked active.
What taxonomy line describes MICHAEL JOHN DONOGHUE (PT ATC)?
For research purposes, treat MICHAEL JOHN DONOGHUE (PT ATC) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL JOHN DONOGHUE (PT ATC)?
MICHAEL JOHN DONOGHUE (PT ATC)'s geographic hint is Tabernacle, New Jersey in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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