Individual provider Active NPI

Nicole A Schulke, PT, DPT, OCS

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1194889451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00839600 Issued in NJ
Practice address
4 E Jimmie Leeds Rd
Suite 3
Galloway, NJ 08205-4465
Phone
(609) 748-4288
Fax
(609) 748-4282
NPI assigned
Dec 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00839600 NJ Primary

Addresses

Primary practice location

4 E Jimmie Leeds Rd
Suite 3
Galloway, NJ 08205-4465

Mailing address

7 Camlough Rd
Woodbine, NJ 08270-3044
Phone (609) 628-1079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000766 NJ Practitioner - Physical Therapist in Private Practice 9537052600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

323 S Pitney Rd
Unit 201
Galloway, NJ 08205-9612
Phone (609) 652-3774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Jan 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients
Cape Atlantic Physical Therapy,PA Physical Therapist Past Accepting new patients
Nicolapt LLC Past Accepting new patients

Locations

323 S Pitney Rd
Unit 201
Galloway, NJ 08205
Phone (609) 652-3774

408 Chris Gaupp Dr
Ste 200
Galloway, NJ 08205
Phone (609) 652-3774

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

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

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

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194889451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CAMLOUGH RD",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082703044",
            "telephone_number": "609-628-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD",
            "address_2": "SUITE 3",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-748-4288",
            "fax_number": "609-748-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULKE",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00839600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.