NPIMap

Organization Active NPI

South Jersey Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hainesport, NJ
National Provider Identifier
1467860163
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA1339700 Issued in NJ
Legal business name
SOUTH JERSEY PHYSICAL THERAPY, LLC
Practice address
1299 Route 38
Suite 9
Hainesport, NJ 08036-2791
Phone
(609) 845-3585
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Dr. Daniel Linick, PT, DPTNPI 1710266960
Title
Co-Owner
Phone
(609) 845-3585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA1339700 NJ Primary

Addresses

Primary practice location

1299 Route 38
Suite 9
Hainesport, NJ 08036-2791

Mailing address

1299 Route 38
Suite 9
Hainesport, NJ 08036-2791
Phone (609) 845-3585

National Provider Directory

National Provider Directory

Locations

1299 Route 38
Ste 9
Hainesport, NJ 08036
Phone (609) 845-3583

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1467860163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 ROUTE 38",
            "address_2": "SUITE 9",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362791",
            "telephone_number": "609-845-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 ROUTE 38",
            "address_2": "SUITE 9",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362791",
            "telephone_number": "609-845-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "LINICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "609-845-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA1339700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.