DAVIS PHYSICAL THERAPY & SPORTS REHAB (NPI# 1063868172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063868172 |
| Entity Type | Organization |
| Organization Name | DAVIS PHYSICAL THERAPY & SPORTS REHAB |
| Practice Address |
320 Evesboro Medford Rd Suite 310 Marlton NJ 08053-5733 |
| Mailing Address |
6 Duncan Ct Medford NJ 08055-8467 |
| Practice Telephone | 6096948896 |
| Practice Fax Number | 6099531715 |
| Mailing Telephone | 6097609619 |
| Mailing Fax Number | 6099531715 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | DR. ANDREA JOHNSON DAVIS (OWNER) |
| Authorized Official Telephone | 6096948896 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00883900 | NJ | Ambulatory Health Care Facilities |
| Street Address |
320 EVESBORO MEDFORD RD SUITE 310 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437247731 | Andrea Johnson Davis | Physical Therapist | 320 Evesboro Medford Rd, Suite 310, Marlton, NJ 08053-5733 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891202313 | Hometown Fitness & Wellness, LLC | Clinic/Center | 702 Lindsey Ct, Marlton, NJ 08053-2058 | 2018-01-05 |
| 1497285217 | Trinity Rehab Somerset Pa | Clinic/Center | 751 Route 73 N Ste 2, Marlton, NJ 08053-3456 | 2017-06-14 |
| 1205858321 | M & M Physical Therapy LLC | Clinic/Center | 773 E Route 70, Suite E125, Marlton, NJ 08053-2362 | 2006-07-25 |
| 1255800389 | Matthew Fredrick | Clinic/Center | 230 N Maple Ave Ste B10, Marlton, NJ 08053-9423 | 2018-11-19 |
| 1902265978 | Virtua-ivy Rehab LLC | Clinic/Center | 773 E Route 70, Bldg E-110, Marlton, NJ 08053-2362 | 2016-02-18 |
| 1629470083 | Seven Star Rehabilitation Services LLC | Clinic/Center | 17 Concord Rd, Marlton, NJ 08053-1903 | 2014-09-17 |
| 1093996175 | Orthopedic & Spine Rehabilitation, LLC | Clinic/Center | 73 N Maple Ave, Suite A, Marlton, NJ 08053-1782 | 2007-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVIS PHYSICAL THERAPY & SPORTS REHAB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.