NPIMap

Organization Active NPI

Rushmore Physical Therapy, P.a.

  • Specialist
  • Delran, NJ
National Provider Identifier
1205848843
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QAO0262900 Issued in NJ
Legal business name
RUSHMORE PHYSICAL THERAPY, P.A.
Practice address
1361 Fairview Blvd
Suite J
Delran, NJ 08075-1473
Phone
(856) 764-0494
Fax
(856) 764-0580
NPI assigned
Aug 12, 2006
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Mr. James H Rushmore, PTNPI 1497729917
Title
Owner
Phone
(856) 764-0494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QAO0262900 NJ Primary

Addresses

Primary practice location

1361 Fairview Blvd
Suite J
Delran, NJ 08075-1473

Mailing address

PO Box 505
Moorestown, NJ 08057-0505
Phone (856) 764-0494

Other identifiers 2

IdentifierTypeStateIssuer
0444623000OtherNJAMERIHEALTH
18155OtherPAPA BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1361 Fairview Blvd
Ste J
Delran, NJ 08075
Phone (856) 764-0494

4037 Route 130
Ste C4
Delran, NJ 08075
Phone (856) 764-0494

1509 Route 38
Hainesport, NJ 08036
Phone (856) 764-0498

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1205848843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080570505",
            "telephone_number": "856-764-0494",
            "fax_number": "856-764-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FAIRVIEW BLVD",
            "address_2": "SUITE J",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751473",
            "telephone_number": "856-764-0494",
            "fax_number": "856-764-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHMORE PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "RUSHMORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-764-0494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QAO0262900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0444623000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "18155",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.