Active NPI
Angela Lynn Donnelly, PT
- Physical Therapist
- Phillipsburg, NJ
National Provider Identifier
1013176601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00802800
- Practice address
- 755 Memorial Pkwy
Suite 208
Phillipsburg, NJ 08865-2748 - Phone
- (908) 847-6756
- Fax
- (908) 213-6696
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00802800 | NJ | Primary |
Addresses
Primary practice location
755 Memorial Pkwy
Suite 208
Phillipsburg, NJ 08865-2748
Mailing address
185 Roseberry St
Suite 1
Phillipsburg, NJ 08865-1690
Phone (908) 847-6756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00802800 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1013176601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 ROSEBERRY ST",
"address_2": "SUITE 1",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651690",
"telephone_number": "908-847-6756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MEMORIAL PKWY",
"address_2": "SUITE 208",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652748",
"telephone_number": "908-847-6756",
"fax_number": "908-213-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "ANGELA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00802800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.