Tri County Home Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00566300 Issued in NJ

Legal business name

TRI COUNTY HOME THERAPY LLC

Practice address

313 Beebe Run Rd
Bridgeton, NJ 08302-5680

Phone

(856) 305-4268

Fax

(856) 697-0071

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Michael Donnelly, PT

Title

Owner

Phone

(856) 305-4268

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brian K Homan, P.T.

  • Physical Therapist
  • Vineland, NJ
  • NPI 1548292055
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1063609576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BEEBE RUN RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083025680",
            "telephone_number": "856-305-4268",
            "fax_number": "856-697-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BEEBE RUN RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083025680",
            "telephone_number": "856-305-4268",
            "fax_number": "856-697-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY HOME THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-305-4268",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00566300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40QA00566300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes Q Tobin, APN, RN, AGCNS-BC
• Ashlee Todd, MS, NCC, LAC
• Annette Tolbert
• Vicky Tomlin, LPC
• Samantha Traenkner, FNP-C
• Tri-County Community Action Agency, Inc.
• Catherine K Tugman, MD
• Kim Turner
• Une'K Therapeutic Solutions, LLC
• Upper Deerfield Dental Center

• Physical Therapist in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.