Individual provider Active NPI

Josephine Rundall

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1255159596
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA2282000 Issued in NJ
Practice address
329 E Jimmie Leeds Rd Ste 103
Galloway, NJ 08205-4110
Phone
(609) 964-7901
Fax
(609) 490-2979
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 40QA2282000 NJ Primary

Addresses

Primary practice location

329 E Jimmie Leeds Rd Ste 103
Galloway, NJ 08205-4110

Mailing address

329 E Jimmie Leeds Rd Ste 103
Galloway, NJ 08205-4110
Phone (609) 964-7901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421000434 NJ Practitioner - Physical Therapist in Private Practice 9830614064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fam Rehabilitation LLCGroup PAC ID 8123472271, 8 clinicians

Practice addresses (Care Compare)

4 E Jimmie Leeds Rd
Suite 10
Galloway, NJ 08205-4465
Phone (609) 964-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA2282000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fam Rehabilitation LLC Physical Therapist CurrentSince Jan 27, 2025 Accepting new patients

Locations

329 E Jimmie Leeds Rd
Ste 103
Galloway, NJ 08205
Phone (609) 964-7901

4 E Jimmie Leeds Rd
Ste 10
Galloway, NJ 08205
Phone (609) 752-3576

Organizations & group practices 1

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1255159596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD STE 103",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-964-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD STE 103",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-964-7901",
            "fax_number": "609-490-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDALL",
        "first_name": "JOSEPHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA2282000",
            "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 Sep 26, 2024; 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.