Thomas William Puckhaber, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01297600 Issued in NJ

Practice address

222 Schanck Rd
Suite 301
Freehold, NJ 07728-3068

Phone

(732) 431-2883

Fax

(732) 431-2865

NPI assigned

Dec 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cora South Carolina LLC

  dba CORA Physical Therapy - Bluffton

  • Physical Therapy Clinic/Center
  • Bluffton, SC
  • NPI 1164923355
  Medicare reassignment NPD
• Palm Coast Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Bluffton, SC
  • NPI 1245960756

  Orthopedic

  Medicare reassignment NPD
• Cora Health Services, Inc.

  dba CORA Physical Therapy - Beaufort

  • Rehabilitation Clinic/Center
  • Beaufort, SC
  • NPI 1093289894
  NPD
• Cora South Carolina LLC

  dba Cora Physical Therapy-Indian Land

  • Rehabilitation Clinic/Center
  • Fort Mill, SC
  • NPI 1356125207
  NPD
• Palmetto Therapy Services

  • Physical Therapy Clinic/Center
  • Hilton Head Island, SC
  • NPI 1972560670

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1437395696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD",
            "address_2": "SUITE 301",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283068",
            "telephone_number": "732-431-2883",
            "fax_number": "732-431-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD",
            "address_2": "SUITE 301",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283068",
            "telephone_number": "732-431-2883",
            "fax_number": "732-431-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKHABER",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01297600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psylent Victory LLC
• Cesar A Pulgarin, MSN, FNP-C
• Anitra Puntolillo, LPC
• Julianne Purves, LAT, ATC
• Junyue Qu, O.D.
• John-Vincent Quiao, DDS

• Orthopedic Physical Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.