Doctor Physical Therapy II, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01478500 Issued in NJ

Legal business name

DOCTOR PHYSICAL THERAPY II, LLC

Practice address

711B Mantua Pike
West Deptford, NJ 08096

Phone

(856) 579-7201

Fax

(856) 579-7734

NPI assigned

Nov 25, 2013

Last updated

Jul 11, 2018By 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

Monica Janel ScottNPI 1518922210

Title

Ceo

Phone

(412) 287-2667

Specialties & licenses 2

Addresses

Other names 1

• Doctor Physical Therapy LLC Former legal business name

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.

• Monica Janel Scott, PT

  • Orthopedic Physical Therapist
  • Woodbury, NJ
  • NPI 1518922210
  Authorized official Same address or phone

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1386074573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MANTUA PIKE",
            "address_2": "SUITE B",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-579-7201",
            "fax_number": "856-579-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711B MANTUA PIKE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-579-7201",
            "fax_number": "856-579-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR PHYSICAL THERAPY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "JANEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-287-2667"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01478500",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor Physical Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Lee R Dilisciandro, PH.D., LPC
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• Lisa Dunn, MS
• Houda Elbaroudi
• Julisa Espinal
• Evan D. O'Brien, M.D., P.C
• Lisa M Ewan, APN

• Physical Therapist in West Deptford, NJ
• Providers in West Deptford, 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 Jul 11, 2018; 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.