Individual provider Active NPI

Andrew Lotocki, PT, DPT

  • Physical Therapist
  • Moorestown, NJ
National Provider Identifier
1003286188
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01625300 Issued in NJ
Practice address
740 Marne Hwy
Suite 203
Moorestown, NJ 08057-3126
Phone
(856) 914-1400
Fax
(856) 914-1444
NPI assigned
Oct 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01625300 NJ Primary

Addresses

Primary practice location

740 Marne Hwy
Suite 203
Moorestown, NJ 08057-3126

Mailing address

740 Marne Hwy
Suite 203
Moorestown, NJ 08057-3126
Phone (856) 914-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222001503 NJ Practitioner - Physical Therapist in Private Practice 9032414552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

1940 S W Blvd
BLDG a
Vineland, NJ 08360-7024
Phone (856) 690-9977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01625300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

1940 S West Blvd
Bldg A
Vineland, NJ 08360
Phone (856) 690-9977

875 Mantua Pike
Ste 14
West Deptford, NJ 08096
Phone (856) 333-3691

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1003286188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MARNE HWY",
            "address_2": "SUITE 203",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573126",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MARNE HWY",
            "address_2": "SUITE 203",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573126",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTOCKI",
        "first_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01625300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.