Individual provider Active NPI

William Davis, DPT

  • Physical Therapist
  • Mullica Hill, NJ
National Provider Identifier
1225670284
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01884900 Issued in NJ
Practice address
127 Bridgeton Pike Unit D
Mullica Hill, NJ 08062-2623
Phone
(856) 478-0275
Fax
(856) 478-0328
NPI assigned
Oct 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 40QA01884900 NJ Primary

Addresses

Primary practice location

127 Bridgeton Pike Unit D
Mullica Hill, NJ 08062-2623

Mailing address

224 W Lincoln Ave
Magnolia, NJ 08049-1224
Phone (856) 783-8525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200807001344 NJ Practitioner - Physical Therapist in Private Practice 6800211871 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01884900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. CurrentSince Mar 20, 2024 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist CurrentSince Mar 20, 2024 Accepting new patients
Rehabclinics SPT Inc CurrentSince Apr 22, 2023 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients

Locations

240 S White Horse Pike
Ste C6
Hammonton, NJ 08037
Phone (609) 561-5308

127 Bridgeton Pike
Mullica Hill, NJ 08062
Phone (856) 478-0275

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1225670284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W LINCOLN AVE",
            "city": "MAGNOLIA",
            "state": "NJ",
            "postal_code": "080491224",
            "telephone_number": "856-783-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BRIDGETON PIKE UNIT D",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622623",
            "telephone_number": "856-478-0275",
            "fax_number": "856-478-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01884900",
            "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 Oct 11, 2019; 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.