John K Beidler, PT/ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA02435 Issued in NJ

Practice address

2273 Route 33
202
Hamilton Square, NJ 08690-1747

Phone

(609) 586-3322

Fax

(609) 586-9094

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1316919285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 ROUTE 33",
            "address_2": "202",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086901747",
            "telephone_number": "609-586-3322",
            "fax_number": "609-586-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 ROUTE 33",
            "address_2": "202",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086901747",
            "telephone_number": "609-586-3322",
            "fax_number": "609-586-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIDLER",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT/ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA02435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Hamilton Square, NJ
• Providers in Hamilton Square, 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 Jan 22, 2008; 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.