Harbor Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00699400 Issued in NJ

Legal business name

HARBOR PHYSICAL THERAPY LLC

Practice address

110 Harbor LN
Suite B
Somers Point, NJ 08244-2470

Phone

(609) 653-9476

Fax

(609) 653-9477

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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

Linda S Palma

Title

Administrator

Phone

(856) 346-3823

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Richard Roycroft, P.T.

  • Physical Therapist
  • Somers Point, NJ
  • NPI 1427190685
  Medicare reassignment NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366561672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARBOR LN",
            "address_2": "SUITE B",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442470",
            "telephone_number": "609-653-9476",
            "fax_number": "609-653-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HARBOR LN",
            "address_2": "SUITE B",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442470",
            "telephone_number": "609-653-9476",
            "fax_number": "609-653-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-346-3823"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00699400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIF",
            "identifier": "1427190685",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin R Guillen, O.T.
• Meenal A Gupte, M.D F.A.A.P
• George J Halko, D.O.
• John J. Hampton, LCADC, LAC
• Christopher Clark Hanson, MPT
• Ian Daniel Hargreaves, LSW
• Jay Mark Harmelin, DPM
• Sharon Held, MD
• Hendley Chiropractic Center LLC
• Michael Simon Hendley, DC

• Physical Therapist in Somers Point, NJ
• Providers in Somers Point, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.