Olympic Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00632700 Issued in NJ

Legal business name

OLYMPIC PHYSICAL THERAPY, LLC

Practice address

3069 English Creek Ave
Suite 301
Egg Harbor Township, NJ 08234-9708

Phone

(609) 641-3200

Fax

(609) 641-3232

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph C. Laielli, M.S.,P.TNPI 1801961032

Title

Director of Physical Therapy

Phone

(609) 641-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph C. Laielli, PT

  • Physical Therapist
  • Somers Point, NJ
  • NPI 1801961032
  Medicare reassignment NPD Authorized official
• Joshua Daniel Lamb, DPT

  • Physical Therapist
  • Egg Harbor Township, NJ
  • NPI 1144629940
  Medicare reassignment NPD
• Sara Elizabeth Velardi

  • Physical Therapist
  • Egg Harbor Township, NJ
  • NPI 1639709900
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1295996403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE",
            "address_2": "SUITE 301",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-641-3200",
            "fax_number": "609-641-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE",
            "address_2": "SUITE 301",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-641-3200",
            "fax_number": "609-641-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "LAIELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "609-641-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00632700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovely Octavius
• Samayyah Oden
• Offering Grain Holdings
• Marissa Ognibene, NP
• Olakanmi Ogunniyi, CEO
• Alvin Chua Ong, M.D.
• Susan Ann Orlando, MS
• Christine L Osborn, DPT
• Margaret Ann Paluch, APRN
• Cashonda Alice Pamplin-Grant, LSW

• Physical Therapy Clinic/Center in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.