NPIMap

Organization Active NPI

Cross Training Rehabilitation, LLC

  • Physical Therapist
  • Egg Harbor TWP, NJ
National Provider Identifier
1386986719
Registry record updated Mar 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01007400 Issued in NJ
Legal business name
CROSS TRAINING REHABILITATION, LLC
Practice address
107 Cherry Dr
Egg Harbor TWP, NJ 08234-5344
Phone
(215) 806-4421
NPI assigned
Mar 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2013

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

Authorized official

Name
Mr. Matthew William Cross, MSPTNPI 1962546424
Title
Physical Therapist
Phone
(215) 806-4421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01007400 NJ Primary

Addresses

Primary practice location

107 Cherry Dr
Egg Harbor TWP, NJ 08234-5344

Mailing address

107 Cherry Dr
Egg Harbor TWP, NJ 08234-5344
Phone (215) 806-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130910000075 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012151228 Receives reassigned benefits from 7 practitioners
Practice locations: Egg Harbor TWP, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364083200000",
    "number": "1386986719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHERRY DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345344",
            "telephone_number": "215-806-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHERRY DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345344",
            "telephone_number": "215-806-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS TRAINING REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-24",
        "last_updated": "2013-03-24",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "215-806-4421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01007400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; 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.