Individual provider Active NPI

Clara Joan Labrake, PT, DPT

  • Physical Therapist
  • Mount Laurel, NJ
National Provider Identifier
1437923851
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02222300 Issued in NJ
Practice address
4000 Church Rd
Mount Laurel, NJ 08054-1110
Phone
(856) 281-7500
Fax
(856) 638-5003
NPI assigned
Nov 7, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02222300 NJ Primary

Addresses

Primary practice location

4000 Church Rd
Mount Laurel, NJ 08054-1110

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 677-4000

Other practice location 1

500 Lippincott Dr
Marlton, NJ 08053-4802
Phone (856) 334-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121000542 NJ Practitioner - Physical Therapist in Private Practice 8123476751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02222300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Nov 7, 2023 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

500 Lippincott Dr
Marlton, NJ 08053
Phone (856) 334-4100

500 Lippincott Dr
Spc At
Marlton, NJ 08053
Phone (856) 334-4100

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

4000 Church Rd
Mount Laurel, NJ 08054
Phone (856) 281-7500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1437923851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-281-7500",
            "fax_number": "856-638-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lippincott Dr",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534802",
            "country_code": "US",
            "telephone_number": "856-334-4100",
            "fax_number": "856-334-4015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABRAKE",
        "first_name": "CLARA",
        "middle_name": "JOAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02222300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.