Dafna Cohen – Physical Therapist in Lakewood, NJ

Key facts

NPI: 1114198397
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: PT009069E (PA)
Practice address: 5 N Crest PL
Lakewood, NJ 08701-2967
Phone: (610) 331-6868
NPI assigned: Mar 17, 2008
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

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.

Kids and Family Inc. Occupational Therapist · Lakewood, NJ · NPI 1164693073

NPD (past) PHYSICAL THERAPIST
Tracy Horter Physical Therapy LLC Physical Therapy Clinic/Center · Rosemont, PA · NPI 1275599409

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PT009069E	PA	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Kids and Family Inc.	Physical Therapist	Past	Accepting new patients
Tracy Horter Physical Therapy LLC	Physical Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	PT009069E	PA	Yes

Addresses

Primary practice location

5 N Crest PL
Lakewood, NJ 08701-2967

Mailing address

20 Levering Cir
Bala Cynwyd, PA 19004-2610

Other identifiers

Identifier	Type	State	Issuer
1014266140001	Medicaid	PA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2008.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1114198397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LEVERING CIR",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N CREST PL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012967",
            "telephone_number": "610-331-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DAFNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009069E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014266140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

All providers in Lakewood, NJ · Physical Therapist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.