Active NPI
Johan Dirk Van Schalkwyk
- Physical Therapist
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00824100
- Practice address
- 112 Haddontowne Court
Suite 303
Cherry Hill, NJ 08034-3664 - Phone
- (856) 354-5044
- Fax
- (856) 354-8133
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00824100 | NJ | Primary |
Addresses
Primary practice location
112 Haddontowne Court
Suite 303
Cherry Hill, NJ 08034-3664
Mailing address
PO Box 310
Three Bridges, NJ 08887-0310
Phone (908) 806-2645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Haddontowne CT
Suite 303
Cherry Hill, NJ 08034-3664
Phone (856) 354-5044
175 Route 70
Suite 19
Medford, NJ 08055-2355
Phone (609) 714-3378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipta Clinical, LLC | Physical Therapist | Current | Accepting new patients |
| 3 Dimensional Physical Therapy - Pelvic Health LLC | Physical Therapist | Past | Accepting new patients |
| Sports Physical Therapy Institute,PA | Physical Therapist | Past | Accepting new patients |
Locations
112 Haddontowne Ct
Ste 303
Cherry Hill, NJ 08034
Phone (856) 354-5044
175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Medford, NJ
- NPI 1275348500
-
- Physical Therapist
- Flemington, NJ
- NPI 1952471112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336219534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "THREE BRIDGES",
"state": "NJ",
"postal_code": "088870310",
"telephone_number": "908-806-2645",
"fax_number": "908-806-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HADDONTOWNE COURT",
"address_2": "SUITE 303",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343664",
"telephone_number": "856-354-5044",
"fax_number": "856-354-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SCHALKWYK",
"first_name": "JOHAN",
"middle_name": "DIRK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00824100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.