Your Place at Home,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00116200 Issued in NJ

Legal business name

YOUR PLACE AT HOME,LLC

Practice address

203 Knotty Oak Dr
Mount Laurel, NJ 08054-2100

Phone

(856) 778-4293

Fax

(856) 778-4293

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Gerardine Kathryn Benedetto, PT

Title

President

Phone

(856) 778-4293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407912207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 KNOTTY OAK DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542100",
            "telephone_number": "856-778-4293",
            "fax_number": "856-778-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KNOTTY OAK DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542100",
            "telephone_number": "856-778-4293",
            "fax_number": "856-778-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PLACE AT HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENEDETTO",
        "authorized_official_first_name": "GERARDINE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-778-4293",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00116200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Azadeh Yates, MD
• Helen H. Yi, M.D.
• Hannah Yoon, D.M.D.
• Ebony Young, RN
• Frederick Young, O.D.
• Amanda J Zacharias, M.S.
• Stephanie C Zaic, LSW
• Zaid Home Care Services
• Zainub Enterprises LLC
• Marjorie Zalegowski

• Physical Therapist in Mount Laurel, NJ
• Providers in Mount Laurel, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.