NPIMap

Organization Active NPI

The Therapeutic Puzzle

  • Rehabilitation Clinic/Center
  • Sicklerville, NJ
National Provider Identifier
1083967319
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
46TR00350400 Issued in NJ
Legal business name
THE THERAPEUTIC PUZZLE
Practice address
401 Independence Blvd
Sicklerville, NJ 08081-1094
Phone
(856) 210-2777
Fax
(609) 228-0678
NPI assigned
Oct 24, 2012
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Kelly Marie Camm, OTR/L
Title
Director of Operations
Phone
(856) 210-2777

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Rehabilitation Clinic/Center 261QR0400X 46TR00350400 NJ Primary

Addresses

Primary practice location

401 Independence Blvd
Sicklerville, NJ 08081-1094

Mailing address

401 Independence Blvd
Sicklerville, NJ 08081-1094
Phone (856) 210-2777

National Provider Directory

National Provider Directory

Locations

401 Independence Blvd
Sicklerville, NJ 08081
Phone (856) 210-2777

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1083967319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 INDEPENDENCE BLVD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811094",
            "telephone_number": "856-210-2777",
            "fax_number": "609-228-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 INDEPENDENCE BLVD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811094",
            "telephone_number": "856-210-2777",
            "fax_number": "609-228-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPEUTIC PUZZLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "CAMM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "856-210-2777",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "46TR00350400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.