Rehab Excellence Center-Mount Laurel LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00900100 Issued in NJ

Legal business name

REHAB EXCELLENCE CENTER-MOUNT LAUREL LLC

Practice address

100 Creek Crossing Boulevard, Suite 107
Hainesport, NJ 08036

Phone

(609) 265-0700

Fax

(609) 265-0708

NPI assigned

Oct 4, 2006

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lara Elizabeth Viggiano Locascio, MPT

Title

Owner/Physical Therapist

Phone

(609) 265-0700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1336234558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CREEK CROSSING BOULEVARD, SUITE 107",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "08036",
            "telephone_number": "609-265-0700",
            "fax_number": "609-265-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CREEK CROSSING BOULEVARD, SUITE 107",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "08036",
            "telephone_number": "609-265-0700",
            "fax_number": "609-265-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB EXCELLENCE CENTER-MOUNT LAUREL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "VIGGIANO LOCASCIO",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-265-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00900100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Pyle, APN
• Danelle Rambus
• Abhijeet Rastogi, MD
• Varun Reddy, MD
• Ronald Redmond, LCSW
• Nicole Ricker, FNP-C
• Andrea M Rivera, BCBA
• Roanna Espino Alcera MD PC (Alcera Family Medicine)
• Alexandra Roden
• Donna Marie Rook, LSW

• Physical Therapist in Hainesport, NJ
• Providers in Hainesport, 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 21, 2009; 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.