Active NPI
Candace R Samuels, DPT, PT
- Physical Therapist
- Cherry Hill, NJ
National Provider Identifier
1467707992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022098
- Practice address
- 7 Carnegie PLZ
Cherry Hill, NJ 08003-1000 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022098 | PA | Primary |
Addresses
Primary practice location
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other names 1
- Candace R Borgman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022098 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Organizations & group practices 1
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": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1467707992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CARNEGIE PLZ",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031000",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CARNEGIE PLZ",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031000",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "CANDACE",
"middle_name": "R",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "BORGMAN",
"middle_name": "R",
"credential": "DPT, PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.