Phoenix Physical Medicine, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2MA04660000 Issued in NJ

Legal business name

PHOENIX PHYSICAL MEDICINE, P.C.

Practice address

701 White Horse Rd
Suite 1
Voorhees, NJ 08043-2494

Phone

(856) 753-0581

Fax

(856) 753-0806

NPI assigned

Sep 10, 2010

Last updated

Sep 10, 2010By 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

Dr. Ronald Lawrence Brody, MD

Title

Owner

Phone

(856) 753-0581

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1346557469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WHITE HORSE RD",
            "address_2": "SUITE 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432494",
            "telephone_number": "856-753-0581",
            "fax_number": "856-753-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WHITE HORSE RD",
            "address_2": "SUITE 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432494",
            "telephone_number": "856-753-0581",
            "fax_number": "856-753-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-753-0581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA06259100",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "2MA06687200",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "2MA04660000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hung Nhat Pham, DO
• Philadelphia Orthotics and Prosthetics, Inc.
• Tony Joseph Philip, AU.D.
• Ashley Phillipson, DPM
• Patrick Allen Philpot, D.O.
• Physical Solutions LLC
• Physiocare Rehabilitation, L.L.C.
• Laura S Picciano, M.D.
• Vickie R Pierman, OTR
• Frahnie Pierre, APN

• Physical Medicine & Rehabilitation Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.