Sam'S Kids Pediatric Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

40QA00217000 Issued in NJ

Legal business name

SAM'S KIDS PEDIATRIC THERAPY

Practice address

604 Lynda Rd
Phillipsburg, NJ 08865-1743

Phone

(908) 454-8687

Fax

(908) 454-6279

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Joy Markle, P.T.

Title

Executive Director

Phone

(908) 454-8687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432944000000",
    "number": "1205950581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LYNDA RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651743",
            "telephone_number": "908-454-8687",
            "fax_number": "908-454-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LYNDA RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651743",
            "telephone_number": "908-454-8687",
            "fax_number": "908-454-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S KIDS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-05-30",
        "status": "A",
        "authorized_official_last_name": "MARKLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-454-8687",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA00217000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan W. Walter D.M.D.
• Ryan W. Walter D.M.D. LLC
• Adam D Sadler, D.O.
• Murtuza Salahuddin, MD
• Wendy Kim Salomone Gant, PH.D.
• Bonnie Sarno, APRN, BC
• Cassie Sassano, M.S., CCC/SLP
• Molly Sawares, MD
• Brandon Schenck, RPH
• Vito Anthony Schiavone

• Pediatric Physical Therapist in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; 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.