Organization Active NPI

Exercise Angels LLC

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1033835905
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXERCISE ANGELS LLC
Practice address
113 Hastings Dr
Galloway, NJ 08205-4680
Phone
(609) 442-0896
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Mr. Armando Apollo Villanoa Vergara, PT
Title
Owner
Phone
(609) 442-0896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

113 Hastings Dr
Galloway, NJ 08205-4680

Mailing address

113 Hastings Dr
Galloway, NJ 08205-4680
Phone (609) 442-0896

Other names 1

  • A & E Homecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230302001895 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446623995 Receives reassigned benefits from 3 practitioners
Practice locations: Galloway, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1033835905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HASTINGS DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054680",
            "telephone_number": "609-442-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HASTINGS DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054680",
            "telephone_number": "609-442-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXERCISE ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "ARMANDO APOLLO",
        "authorized_official_middle_name": "VILLANOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-442-0896",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & E Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A & E Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.