Individual provider Active NPI

William Joseph Roberts Jr., MPT

  • Physical Therapist
  • Hammonton, NJ
National Provider Identifier
1467470831
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00905900 Issued in NJ
Practice address
640 S White Horse Pike
Hammonton, NJ 08037-2014
Phone
(609) 704-1980
Fax
(609) 704-9054
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00905900 NJ Primary

Addresses

Primary practice location

640 S White Horse Pike
Hammonton, NJ 08037-2014

Mailing address

640 S White Horse Pike
Hammonton, NJ 08037-2014
Phone (609) 704-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000755 NJ Practitioner - Physical Therapist in Private Practice 2860424330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J Romalino PT, PCGroup PAC ID 9234110131, 6 clinicians

Practice addresses (Care Compare)

1035 N Black Horse Pike
Suite 5
Williamstown, NJ 08094-2840
Phone (856) 728-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00905900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Fitness, LLC Physical Therapist CurrentSince Oct 3, 2017 Accepting new patients
Atlantic Orthopedic & Sports Physical Therapy PC Physical Therapist CurrentSince Jun 1, 2000 Accepting new patients
Robert J Romalino PT, PC CurrentSince Feb 1, 2018 Accepting new patients
Heymann, Manders, Green & Sommer, LLC. PastSince Jul 1, 2015 Accepting new patients

Locations

129 N White Horse Pike
Ste B
Hammonton, NJ 08037
Phone (609) 704-1980

640 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 704-1980

2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849

760 S Delsea Dr
Ste 300
Vineland, NJ 08360
Phone (609) 704-1980

1035 N Black Horse Pike
Ste 5
Williamstown, NJ 08094
Phone (856) 726-4100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467470831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372014",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372014",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00905900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.