Theodore Osmola, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA00529400 Issued in NJ

Practice address

375 N Main St
Suite C-3
Williamstown, NJ 08094-1481

Phone

(856) 875-0810

Fax

(856) 875-7116

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aspen Physical Therapy Centers, LLP

  • Physical Therapist
  • Glassboro, NJ
  • NPI 1972726594
  NPD (past)
• Select Therapy, Inc.

  • Physical Therapist
  • Somerdale, NJ
  • NPI 1689797656
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487742813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MENKAR AVE",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST",
            "address_2": "SUITE C-3",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941481",
            "telephone_number": "856-875-0810",
            "fax_number": "856-875-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMOLA",
        "first_name": "THEODORE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00529400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "4940585",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1547736",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2230033",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena D Oliver, MA
• Alysha Marie Onesti, OTR/L
• Leo Onyekwere Onuoha, MSN, RN, PMHNP-BC
• Alyssa Orbaczewski
• Jessica C Ortiz, LCSW
• Edwin Padilla Perez, INTERPRETER
• Lauren R Padula
• Pafacom, Inc.
• Crisel Panes- Lattao
• Ernest Papa, RPH

• Specialist in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Specialist in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.