Spectrum Physical Rehabilitation & Therapy , LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

38MC00350200 Issued in NJ

Legal business name

SPECTRUM PHYSICAL REHABILITATION & THERAPY , LLC

Practice address

2105 W County Line Rd
Jackson, NJ 08527-2301

Phone

(732) 370-5800

Fax

(732) 370-6772

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John F Carlucci, D.C.NPI 1194829507

Title

Owner

Phone

(732) 370-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

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

• John Francis Carlucci, D.C.

  • Orthopedic Chiropractor
  • Jackson, NJ
  • NPI 1194829507
  Medicare reassignment NPD Authorized official
• Peter Joseph Caldiero, DPT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1700853835
  NPD (past)
• Vsevolod Elkanovich, PT

  • Physical Therapist
  • Lincroft, NJ
  • NPI 1801895446
  NPD (past)
• Michelle Fredenburg Onion, PT

  • Physical Therapist
  • East Windsor, NJ
  • NPI 1043304165
  NPD (past)
• Mitchell I Kosheff, PT DPT PHYSICAL THER

  • Physical Therapist
  • Jackson, NJ
  • NPI 1134221922
  NPD (past)
• Annika Vitolo

  • Physical Therapist
  • Georgetown, DE
  • NPI 1548294721
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1447309299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD",
            "address_2": "SUITE 7",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272301",
            "telephone_number": "732-370-5800",
            "fax_number": "732-370-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272301",
            "telephone_number": "732-370-5800",
            "fax_number": "732-370-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHYSICAL REHABILITATION & THERAPY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "CARLUCCI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-370-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00350200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Rehabilitation Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.