Individual provider Active NPI

Camille Giancola, PT, DPT

  • Physical Therapist
  • Mullica Hill, NJ
National Provider Identifier
1194338194
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01939900 Issued in NJ
Practice address
3 Myers Dr Ste 100
Mullica Hill, NJ 08062-9514
Phone
(856) 502-3300
Fax
(856) 294-9241
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01939900 NJ Primary

Addresses

Primary practice location

3 Myers Dr Ste 100
Mullica Hill, NJ 08062-9514

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201007000119 NJ Practitioner - Physical Therapist in Private Practice 9638598931 Reassigns benefits to 1 organization
I20230703002010 PA Practitioner - Physical Therapist in Private Practice 9638598931 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1192 W Penn Ave
Suite a
Womelsdorf, PA 19567-9702
Phone (610) 589-2263

1224 Tilton Rd
Northfield, NJ 08225-1809
Phone (609) 926-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 4, 2023 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Sep 27, 2025 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

224 Strawbridge Dr
Ste 100
Moorestown, NJ 08057
Phone (856) 677-4000

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

3 Myers Dr
Ste 201
Mullica Hill, NJ 08062
Phone (856) 502-3300

123 Egg Harbor Rd
Ste 305
Sewell, NJ 08080
Phone (856) 481-3513

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

5479 Pottsville Pike
Ste 200
Leesport, PA 19533
Phone (610) 926-6778

101 N Monroe St
Media, PA 19063
Phone (484) 444-0135

101 N Monroe St
#2
Media, PA 19063
Phone (484) 444-0135

1083 W Baltimore Pike
Bldg C106
Media, PA 19063
Phone (484) 214-4080

1083 W Baltimore Pike
Ste E
Media, PA 19063
Phone (484) 214-4080

3537 West Chester Pike
Newtown Square, PA 19073
Phone (610) 601-9177

1528 Walnut St
Ste 1210
Philadelphia, PA 19102
Phone (215) 839-0989

2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812

7720 W Chester Pike
Ste 2
Upper Darby, PA 19082
Phone (610) 924-6100

1192 W Penn Ave
Ste A
Womelsdorf, PA 19567
Phone (610) 589-2263

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1194338194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MYERS DR STE 100",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629514",
            "telephone_number": "856-502-3300",
            "fax_number": "856-294-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANCOLA",
        "first_name": "CAMILLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01939900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.