Organization Active NPI

Delaware Valley Physical Therapy Associates PA

  • Physical Therapist
  • Lawrenceville, NJ
National Provider Identifier
1326093907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DELAWARE VALLEY PHYSICAL THERAPY ASSOCIATES PA
Practice address
123 Franklin Corner Rd
Suite 103
Lawrenceville, NJ 08648-2526
Phone
(609) 896-9054
Fax
(609) 896-9059
NPI assigned
May 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marlene Ricevuto
Title
Chief Finanical Officer
Phone
(609) 896-9054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

123 Franklin Corner Rd
Suite 103
Lawrenceville, NJ 08648-2526

Mailing address

123 Franklin Corner Rd
Suite 103
Lawrenceville, NJ 08648-2526
Phone (609) 896-9054

National Provider Directory

National Provider Directory

Locations

123 Franklin Corner Rd
Ste 103
Lawrenceville, NJ 08648
Phone (609) 584-6501

Practitioners & affiliated clinicians

Practitioners 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326093907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 103",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-9054",
            "fax_number": "609-896-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 103",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-9054",
            "fax_number": "609-896-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY PHYSICAL THERAPY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICEVUTO",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "CHIEF FINANICAL OFFICER",
        "authorized_official_telephone_number": "609-896-9054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.