Individual provider Active NPI

Lezlie Schwartz, PT

  • Physical Therapist
  • Marlton, NJ
National Provider Identifier
1043436751
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00632000 Issued in NJ
Practice address
3001 Lincoln Dr W
Suite I
Marlton, NJ 08053-1528
Phone
(856) 396-3173
Fax
(856) 396-0063
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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 40QA00632000 NJ Primary

Addresses

Primary practice location

3001 Lincoln Dr W
Suite I
Marlton, NJ 08053-1528

Mailing address

3001 Lincoln Dr W
Marlton, NJ 08053-1528
Phone (856) 396-3173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000154 NJ Practitioner - Physical Therapist in Private Practice 4082678222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00632000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Rehab LLC Physical Therapist CurrentSince Apr 1, 2008 Accepting new patients

Locations

801 Route 73 N
Ste G
Marlton, NJ 08053
Phone (856) 396-3173

300 Campus Dr
Ste A
Mount Holly, NJ 08060
Phone (609) 261-3434

Organizations & group practices 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1043436751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LINCOLN DR W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531528",
            "telephone_number": "856-396-3173",
            "fax_number": "856-396-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LINCOLN DR W",
            "address_2": "SUITE I",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531528",
            "telephone_number": "856-396-3173",
            "fax_number": "856-396-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "LEZLIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00632000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.