NPIMap

Organization Active NPI

Physiatry Management Services

  • Physical Medicine & Rehabilitation Physician
  • Mount Laurel, NJ
National Provider Identifier
1275564502
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSIATRY MANAGEMENT SERVICES
Practice address
3111 Route 38
PMB 120
Mount Laurel, NJ 08054-9754
Phone
(856) 235-4828
Fax
(856) 642-0238
NPI assigned
Jul 5, 2006
Last updated
Mar 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Jo Bowen
Title
Billing Manager
Phone
(609) 261-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

3111 Route 38
PMB 120
Mount Laurel, NJ 08054-9754

Mailing address

3111 Route 38 BLDG#11
PMB 120
Mount Laurel, NJ 08054-9754
Phone (856) 235-4828

National Provider Directory

National Provider Directory

Locations

1049 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 840-3700

3111 Route 38
Mount Laurel, NJ 08054
Phone (856) 235-4828

1059 Old Trenton Rd
Trenton, NJ 08690
Phone (609) 588-0091

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1275564502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 ROUTE 38 BLDG#11",
            "address_2": "PMB 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549754",
            "telephone_number": "856-235-4828",
            "fax_number": "856-642-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 ROUTE 38",
            "address_2": "PMB 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549754",
            "telephone_number": "856-235-4828",
            "fax_number": "856-642-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIATRY MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-261-5755"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.