Active NPI
Wallington Physical Therapy
- Physical Therapist
- Wallington, NJ
National Provider Identifier
1114555109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WALLINGTON PHYSICAL THERAPY
- Practice address
- 436 Main Ave
Wallington, NJ 07057-1830 - Phone
- (609) 388-7999
- NPI assigned
- Mar 27, 2020
- Last updated
- Aug 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn V John
- Title
- Physical Therapist/Owner
- Phone
- (609) 388-7999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
436 Main Ave
Wallington, NJ 07057-1830
Mailing address
436 Main Ave
Wallington, NJ 07057-1830
Phone (609) 388-7999
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drjohn@wallingtonpt.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Wallington, NJ
- NPI 1356626154
-
- Physical Therapist
- Wallington, NJ
- NPI 1902612880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660867200000",
"number": "1114555109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 MAIN AVE",
"city": "WALLINGTON",
"state": "NJ",
"postal_code": "070571830",
"telephone_number": "609-388-7999",
"fax_number": "609-388-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 MAIN AVE",
"city": "WALLINGTON",
"state": "NJ",
"postal_code": "070571830",
"telephone_number": "609-388-7999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALLINGTON PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-27",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "609-388-7999"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drjohn@wallingtonpt.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "436 Main Ave",
"city": "Wallington",
"state": "NJ",
"country_code": "US",
"postal_code": "070571830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wallington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.