Inner Circle Physical Therapy & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNER CIRCLE PHYSICAL THERAPY & WELLNESS

Practice address

8 Colonial CT
Lebanon, NJ 08833-4100

Phone

(908) 257-0602

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Mandall, DPT

Title

Owner/Provider

Phone

(908) 257-0602

Specialties & licenses 1

Addresses

Other names 1

• Skyland Pelvic Rehab Doing business as

Locations

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1275229809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COLONIAL CT",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334100",
            "telephone_number": "908-257-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COLONIAL CT",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334100",
            "telephone_number": "908-257-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CIRCLE PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MANDALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "908-257-0602",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyland Pelvic Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyland Pelvic Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Lebanon, NJ
• Providers in Lebanon, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.