MICHAEL THOMAS MUNDRY I (NPI# 1962536078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962536078 |
Entity Type | Individual |
Full Name | MICHAEL THOMAS MUNDRY I |
Credential | D.P.T. |
Practice Address |
1037 Route 70 Manchester NJ 08759-5806 |
Practice Telephone | 7324081800 |
Practice Fax Number | 7324080704 |
Mailing Telephone | 7324081800 |
Mailing Fax Number | 7324080704 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2251S0007X |
Physical Therapist Specialization: Sports |
40QA01092400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01092400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1037 ROUTE 70 |
City | MANCHESTER |
State | NJ |
Zip Code | 08759-5806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164553749 | James Edward Flaherty | Physical Therapist | 1037 Route 70, Manchester Shopping Plaza, Manchester, NJ 08759-5806 | 2007-03-08 |
1427655166 | Vincenzo Puglia | Physical Therapist | 1037 Route 70, Manchester, NJ 08759-5806 | 2020-10-06 |
1104269604 | Jennifer M Colonna | Physical Therapist | 1037 Route 70, Manchester, NJ 08759-5806 | 2013-04-15 |
1790034551 | Carolyn Percopo | Physical Therapist | 1037 Route 70, Manchester, NJ 08759-5806 | 2012-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811471097 | Anthony's Exclusive Limousine | Private Vehicle | 20 Florence Drive, Renaissance Community, Manchsester, NJ 08759 | 2018-09-24 |
1619489077 | Audiology Services Company Usa, LLC | Clinic/Center | 70 Lacey Road Route 530, Irish Branch Plaza, Manchester Township, NJ 08759 | 2017-10-25 |
1053835371 | Renee Lynn Agro | Case Manager/Care Coordinator | 23 Arcadia Drive, Manchester Township, NJ 08759 | 2017-07-28 |
1891229563 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 713 Northhampton Boulevard, Manchester, NJ 08759 | 2017-04-19 |
1750829701 | The Open Door of New Jersey | Day Training, Developmentally Disabled Services | 2110 Route 70, Manchester, NJ 08759 | 2017-02-09 |
1205214277 | Monette Tresvalles Md LLC | Internal Medicine | 65 D Lacey Road, Whiting, NJ 08759 | 2015-05-11 |
1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
1104251438 | Meredith L Hardie | Physical Therapist | 63-h Lacey Road, Whiting, NJ 08759 | 2013-09-05 |
1982951380 | Crest Whiting Physical Therapy | Physical Medicine & Rehabilitation | 61 Lacey Road, Whiting, NJ 08759 | 2012-08-06 |
1366710592 | Barbara Celina Boudreau | Registered Nurse | 1228 Route 37 West, Holy Redeemer, Toms River, NJ 08759 | 2011-12-02 |
Find all providers in zip 08759 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363582 | Rufus Zachary Hay | Physical Therapist | 1609 11th Ave, Toms River, NJ 08757-2038 | 2020-10-13 |
1497376297 | Nicholas Mckaba | Physical Therapist | 33 Ascot Dr, Long Valley, NJ 07853-3660 | 2020-05-03 |
1437624269 | Heather Minue | Physical Therapist | 38 Danbury Rd, Tinton Falls, NJ 07753-7918 | 2018-10-08 |
1962925412 | Provere Physical Therapy - Paramus LLC | Physical Therapist | 407 Sette Dr Bldg E, Paramus, NJ 07652-2940 | 2017-07-17 |
1477804748 | Joseph B. Peragine | Physical Therapist | 144 Princeton Oval, Freehold, NJ 07728-5336 | 2012-09-27 |
1235431586 | Harold Alaan | Physical Therapist | 239 English Pl, Basking Ridge, NJ 07920-2799 | 2010-11-18 |
1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
1619061074 | Benjamin Meir Burton | Physical Therapist | 69 Newark Pompton Tpke, Riverdale, NJ 07457-1426 | 2006-10-03 |
1952408296 | Rodolfo Chua Jr. | Physical Therapist | 575 High Mountain Rd, North Haledon, NJ 07508-2662 | 2006-09-20 |
1689781593 | Shane Famille | Physical Therapist | 17 11th Ave, Glendora, NJ 08029-1333 | 2006-08-24 |
Find all providers with the same taxonomy |
City | MANCHESTER |
Zip Code | 08759 |
Please comment or provide details below to improve the information on MICHAEL THOMAS MUNDRY I.
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.