NPIMap

Organization Active NPI

Recover Physical Therapy

  • Clinic/Center
  • Blackwood, NJ
National Provider Identifier
1194354407
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RECOVER PHYSICAL THERAPY
Practice address
1501 Old Black Horse Pike Apt F9
Blackwood, NJ 08012-4927
Phone
(910) 658-3299
Fax
(856) 373-5040
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
William Michael OgletreeNPI 1972104404
Title
Owner
Phone
(910) 658-3299

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1501 Old Black Horse Pike Apt F9
Blackwood, NJ 08012-4927

Mailing address

1501 Old Black Horse Pike Apt F9
Blackwood, NJ 08012-4927
Phone (910) 658-3299

Other practice location 1

905 S Wilmington Ave
Dunn, NC 28334-6025
Phone (910) 658-3299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201125000248 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507288545 Receives reassigned benefits from 6 practitioners
Practice locations: Blackwood, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1194354407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT F9",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124927",
            "telephone_number": "910-658-3299",
            "fax_number": "856-373-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT F9",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124927",
            "telephone_number": "910-658-3299",
            "fax_number": "856-373-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 S Wilmington Ave",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283346025",
            "country_code": "US",
            "telephone_number": "910-658-3299",
            "fax_number": "910-658-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "OGLETREE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-658-3299"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.

Verify at the official NPI Registry.