Organization Active NPI

BPT Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Moorestown, NJ
National Provider Identifier
1427547447
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BPT PHYSICAL THERAPY LLC
Practice address
341 New Albany Rd Ste 120
Moorestown, NJ 08057
Phone
(856) 380-0887
NPI assigned
May 4, 2018
Last updated
Jun 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Elizabeth Petrie, MPTNPI 1730697079
Title
Owner
Phone
(757) 412-7250

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

341 New Albany Rd Ste 120
Moorestown, NJ 08057

Mailing address

341 New Albany Rd Ste 120
Moorestown, NJ 08057-1185
Phone (856) 380-0887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180904001322 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042560518 Receives reassigned benefits from 2 practitioners
Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Locations

341 New Albany Rd
Ste 120
Moorestown, NJ 08057
Phone (717) 412-7250

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1427547447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 NEW ALBANY RD STE 120",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571185",
            "telephone_number": "856-380-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 NEW ALBANY RD STE 120",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-380-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-412-7250",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.