Superior Physical Therapy of Woodbury Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-007914-L Issued in PA

Legal business name

SUPERIOR PHYSICAL THERAPY OF WOODBURY INC

Practice address

750 Mantua Pike
Woodbury Heights, NJ 08097-1142

Phone

(215) 694-5261

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Dufour Jr., PTNPI 1437113362

Title

Ceo/Physical Therapist

Phone

(215) 462-3303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gerald M. Dufour, MSPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1437113362
  Authorized official Same address or phone

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1083969315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MANTUA PIKE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MANTUA PIKE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971142",
            "telephone_number": "215-694-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICAL THERAPY OF WOODBURY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "DUFOUR",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-462-3303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-007914-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas H Seeger, DMD MD
• Ronen Shor, DMD
• Joel A. Silbert, O.D.
• Amy L Steinhauer, DO
• Rebecca Stpierre
• Stanley Szumski, PA-C
• Tara M. Tomasso, M.D., L.L.C.
• Robert Michael Tartaglione, DDS
• Nicholas James Tedeschi, DDS
• The Wounded Healer, Inc. D/B/a My Friends House Family Counseling Serv (My Friends House Family Counseling Services)

• Physical Therapist in Woodbury Heights, NJ
• Providers in Woodbury Heights, 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 Jul 24, 2012; 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.