Individual provider Active NPI

Edward Marion

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1336541325
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01570200 Issued in NJ
Practice address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Sep 22, 2014
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01570200 NJ Primary

Addresses

Primary practice location

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000

Mailing address

28 Baldwin Cir
Glenmoore, PA 19343-1136
Phone (732) 610-2796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141106000827 NJ Practitioner - Physical Therapist in Private Practice 0143442129 Reassigns benefits to 1 organization
I20170929000736 PA Practitioner - Physical Therapist in Private Practice 0143442129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homecare Rehab LLCGroup PAC ID 5597054981, 5 clinicians

Practice addresses (Care Compare)

25 Highland Dr
Parlin, NJ 08859-2522
Phone (732) 610-2528

28 Baldwin Cir
Glenmoore, PA 19343-1136
Phone (732) 610-2796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01570200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare Rehab LLC Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1336541325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BALDWIN CIR",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431136",
            "telephone_number": "732-610-2796",
            "fax_number": "484-698-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01570200",
            "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 Dec 10, 2018; 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.

Verify at the official NPI Registry.