MRS. IRMA TETRUASHVILY (NPI# 1073629077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073629077 |
| Entity Type | Individual |
| Full Name | MRS. IRMA TETRUASHVILY |
| Credential | DPT,GCS,SCS |
| Practice Address |
9 Normandy Rd Marlton NJ 08053-5525 |
| Practice Telephone | 8565520449 |
| Practice Fax Number | 8565520187 |
| Mailing Telephone | 8565520449 |
| Mailing Fax Number | 8565520187 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251C2600X |
Physical Therapist Specialization: Cardiopulmonary |
40QA00988600 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
40QA00988600 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA00988600 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9 NORMANDY RD |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689769754 | Vital Care Hs, LLC | Physical Therapist | 9 Normandy Rd, Marlton, NJ 08053-5525 | 2006-10-04 |
| 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 | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204410 | Gregory Thielman | Physical Therapist | 100 Lindis Farne Ave Apt 4304, Haddon Township, NJ 08108-2761 | 2020-08-07 |
| 1629618582 | Katura Health LLC | Physical Therapist | 542 Freeman Street, 1st Floor, Orange, NJ 07050-6046 | 2020-01-08 |
| 1225596083 | Manaliben C Patel | Physical Therapist | 134 Overlook Ct Apt A, Woodbridge, NJ 07095-1438 | 2019-03-11 |
| 1720562614 | Alfred Banan | Physical Therapist | 306 Martin St, River Vale, NJ 07675-5944 | 2018-09-18 |
| 1295218469 | Arnold Turla Pazcoguin | Physical Therapist | 27 Murray Hill Ter, Bergenfield, NJ 07621-3013 | 2018-09-12 |
| 1861974974 | Karen Tischler | Physical Therapist | 202 White Rd, Jackson, NJ 08527-5014 | 2018-09-05 |
| 1710468681 | Joshua Solomon Itzkowitz | Physical Therapist | 17 Giti Rd, Lakewood, NJ 08701-5630 | 2018-08-28 |
| 1386183556 | Hetal Desai | Physical Therapist | 340 Sterling Pl, Rahway, NJ 07065-4949 | 2017-02-21 |
| 1619410925 | Sarah Margaret Kelber | Physical Therapist | 2 Bailey Ct, Jackson, NJ 08527-4459 | 2016-11-18 |
| 1295181915 | Maria Murphy | Physical Therapist | 290 Chester Ave, Moorestown, NJ 08057-3306 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
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| 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.