Rachel Petrucci, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02170600 Issued in NJ

Practice address

413 W Crystal Lake Ave
Haddonfield, NJ 08033-2806

Phone

(856) 240-7609

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Physical Therapist

  Medicare reassignment NPD
• 3 Dimensional Physical Therapy - Pelvic Health LLC

  • Physical Therapist
  • Medford, NJ
  • NPI 1275348500
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1104518497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W CRYSTAL LAKE AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332806",
            "telephone_number": "856-240-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W CRYSTAL LAKE AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332806",
            "telephone_number": "856-240-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "RACHEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02170600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemunde Marcia Christine Percival, LLC OWNER
• Kerry Perez
• Claudia Jennifer Petaccio, MD
• Linda Michelle Petrovich, MD
• John W Petrozzi, M.D
• Nicole Pittella
• Laureen M Pladdys, DC
• Plant and Grow Holistic Counseling LLC (Plant and Grow Counseling)
• Tiffany Pooler
• Nicole Renee Post, M.D.

• Physical Therapist in Haddonfield, NJ
• Providers in Haddonfield, 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 9, 2024; 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.