Active NPI
Stacey Wojculewski, PT
- Specialist
- Cherry Hill, NJ
National Provider Identifier
1265521272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA01133800
- Practice address
- 1301 Springdale Rd
Cherry Hill, NJ 08003-2763 - Phone
- (856) 424-4444
- Fax
- (856) 673-2589
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA01133800 | NJ | Primary |
Addresses
Primary practice location
1301 Springdale Rd
Cherry Hill, NJ 08003-2763
Mailing address
2 Knox Blvd
Marlton, NJ 08053-2915
Other names 1
- Stacey Siano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Physical Therapy | Past | Accepting new patients | |
| Dynamic Therapy Services of Pennsylvania LLC | Past | Accepting new patients | |
| Bayada Home Health Care, Inc. | Past | Accepting new patients | |
| Select Therapy, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Physical Therapist
- Somerdale, NJ
- NPI 1689797656
-
- Physical Therapist
- Bear, DE
- NPI 1306875984
-
dba Dynamic Physical Therapy
- Physical Therapist
- Aston, PA
- NPI 1346477981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265521272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 KNOX BLVD",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SPRINGDALE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032763",
"telephone_number": "856-424-4444",
"fax_number": "856-673-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCULEWSKI",
"first_name": "STACEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA01133800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "SIANO",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.