NPIMap

Organization Active NPI

Advanced Physical Therapy PC

  • Physical Therapist
  • Mercerville, NJ
National Provider Identifier
1255489944
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00310500 Issued in NJ
Legal business name
ADVANCED PHYSICAL THERAPY PC
Practice address
1245 Whitehorse Mercerville Rd
Suite 422
Mercerville, NJ 08619-3831
Phone
(609) 581-4700
Fax
(609) 581-1506
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Kevin Koob
Title
President
Phone
(609) 581-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00310500 NJ Primary

Addresses

Primary practice location

1245 Whitehorse Mercerville Rd
Suite 422
Mercerville, NJ 08619-3831

Mailing address

1245 Whitehorse Mercerville Rd
Suite 422
Mercerville, NJ 08619-3831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1255489944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 422",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 422",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-581-4700",
            "fax_number": "609-581-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "KOOB",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-581-4700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00310500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.