Individual provider Active NPI

John J Walker Jr., PT

  • Physical Therapist
  • Moorestown, NJ
National Provider Identifier
1245229194
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01111200 Issued in NJ
Practice address
740 Marne Hwy Ste 203
Moorestown, NJ 08057
Phone
(856) 914-1400
Fax
(856) 914-1444
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016324L PA
Physical Therapist 225100000X 40QA01111200 NJ Primary

Addresses

Primary practice location

740 Marne Hwy Ste 203
Moorestown, NJ 08057

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000273 PA Practitioner - Physical Therapist in Private Practice 5991691511 Reassigns benefits to 1 organization
I20050209000303 NJ Practitioner - Physical Therapist in Private Practice 5991691511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, shared by 7 NPIs, 163 clinicians

Practice addresses (Care Compare)

1500 John F Kennedy Blvd
Suite 450
Philadelphia, PA 19102-1733
Phone (215) 454-2812

740 Marne Hwy
Suite 203
Moorestown, NJ 08057-3127
Phone (856) 914-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016324LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC CurrentSince Jan 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

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

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

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

2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812

Organizations & group practices 3

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1245229194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MARNE HWY STE 203",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Marne Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "08057",
            "country_code": "US",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016324L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01111200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.