Active NPI
Anne-Marie Dibenedetto, MPT,DPT
- Physical Therapist
- Marlton, NJ
National Provider Identifier
1184996878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 230 N Maple Ave Ste B10
Marlton, NJ 08053-9423 - Phone
- (856) 396-2500
- Fax
- (856) 396-2525
- NPI assigned
- Jan 27, 2012
- Last updated
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
230 N Maple Ave Ste B10
Marlton, NJ 08053-9423
Mailing address
230 North Maple Ave Sutie B-10
Marlton, NJ 08053
Phone (856) 396-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659319002 | Other | NJ | ADDING LOCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1184996878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 NORTH MAPLE AVE SUTIE B-10",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-396-2500",
"fax_number": "856-396-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MAPLE AVE STE B10",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539423",
"telephone_number": "856-396-2500",
"fax_number": "856-396-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBENEDETTO",
"first_name": "ANNE-MARIE",
"credential": "MPT,DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADDING LOCATION",
"identifier": "1659319002",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.