Organization Active NPI

3 Dimensional Physical Therapy - Pelvic Health LLC

  • Physical Therapist
  • Medford, NJ
National Provider Identifier
1275348500
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
3 DIMENSIONAL PHYSICAL THERAPY - PELVIC HEALTH LLC
Practice address
175 Route 70 Ste 17
Medford, NJ 08055-2355
Phone
(609) 714-3378
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Jeanine Macdonald
Title
Executive
Phone
(609) 257-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

175 Route 70 Ste 17
Medford, NJ 08055-2355

Mailing address

175 Route 70 Ste 19
Medford, NJ 08055-2355
Phone (609) 714-3378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250324002875 NJ Part B Supplier - Clinic/Group Practice 1254853831 Receives reassigned benefits from 3 practitioners
Practice locations: Haddon Heights, NJ; Tabernacle, NJ; Medford, NJ

National Provider Directory

National Provider Directory

Locations

175 Route 70
Ste 17
Medford, NJ 08055
Phone (609) 714-3378

1572 Route 206
Rm 1
Tabernacle, NJ 08088
Phone (609) 388-4391

Practitioners & affiliated clinicians

Practitioners 158

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1275348500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROUTE 70 STE 19",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552355",
            "telephone_number": "609-714-3378",
            "fax_number": "856-583-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 70 STE 17",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552355",
            "telephone_number": "609-714-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 DIMENSIONAL PHYSICAL THERAPY - PELVIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "609-257-3750"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.