BTD Group, LLC

Primary specialty

PedorthistTaxonomy code 224L00000X

License

C46786 Issued in NJ

Legal business name

BTD GROUP, LLC

Doing business as

Olde Soles Cobbler Shop

Practice address

295 Route 70 W
Cherry Hill, NJ 08002-3096

Phone

(856) 216-8003

Fax

(856) 216-8223

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Brian T. Di Giulio, CERTIFIED PEDORTHIST

Title

Owner

Phone

(856) 216-8003

Specialties & licenses 3

Addresses

Other names 1

• Olde Soles Cobbler Shop Doing business as

Locations

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1487925004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ROUTE 70 W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023096",
            "telephone_number": "856-216-8003",
            "fax_number": "856-216-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ROUTE 70 W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023096",
            "telephone_number": "856-216-8003",
            "fax_number": "856-216-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTD GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "DI GIULIO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-216-8003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": "NJ",
            "license": "C46786",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": "NJ",
            "license": "C46786",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "C46786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olde Soles Cobbler Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luke Bryant, RVT
• Sharice Bryant
• Anneke Bryce, BCBA
• Richard Bryce
• Kathryn Martinelli Brzozowski, LCSW
• Anthony Robert Buccafurni, DPT
• Ryan T Buccafurni, PT, DPT
• Kiera Buchanan, LCSW
• Brian A Buchholz, PT
• Marissa Buckley

• Pedorthist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Pedorthist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.