Bonnie Lynn Phillips, M.P.T
Individual provider Active NPI Physical Therapist · Marlton, NJ
NPI 1124095088 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124095088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- QA00555300 (NJ)
- Practice address
- 10 E Stow Rd
Suite 100
Marlton, NJ 08053-3133 - Phone
- (856) 552-1300
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808004147 | NJ | Practitioner - Physical Therapist in Private Practice | 8820450885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA00555300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncare Rehab LLC | Physical Therapist | Current |
Accepting new patients |
| Moorestown Visiting Nurse Association Inc | Past | Accepting new patients | |
| Moorestown Visiting Nurse Association Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA00555300 | NJ | Yes |
Addresses
Primary practice location
10 E Stow Rd
Suite 100
Marlton, NJ 08053-3133
Mailing address
6 Butternut CT
Eastampton, NJ 08060-2506
Phone (609) 261-3428
Other providers in Marlton, NJ
- Philadelphia Health & Education Corp.
- Philadelphia Health & Education Corp.
- Philadelphia Vamc
- Denise Lora Philips
- Deborah Adele Phillips-Taylor
- Marie Phillips
- Stephanie Phillips
- Steven Phillips
- Carlyn S Phucas
- Physicians Billing and Collections Inc
All providers in Marlton, 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 Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.