Breast Cancer Physical Therapy Center, LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40Q00667300 Issued in NJ

Legal business name

BREAST CANCER PHYSICAL THERAPY CENTER, LTD.

Practice address

13 W Ormond Ave
Suite 2
Cherry Hill, NJ 08002-3041

Phone

(856) 429-8200

Fax

(856) 429-2260

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Linda T Miller, PT, DPTNPI 1033253604

Title

Clincal Director, President

Phone

(856) 429-8200

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda T Miller, PT. DPT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1033253604
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1497899330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W ORMOND AVE",
            "address_2": "SUITE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023041",
            "telephone_number": "856-429-8200",
            "fax_number": "856-429-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W ORMOND AVE",
            "address_2": "SUITE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023041",
            "telephone_number": "856-429-8200",
            "fax_number": "856-429-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CANCER PHYSICAL THERAPY CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINCAL DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "856-429-8200",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006405L",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40Q00667300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "549682",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Russell Braswell-Pipes III, CADCI
• Jinhee Jang Bratu, CRNP
• Ivy L Braun
• Judy Braun, LCSW
• Hillary Ann Bray, APN
• Breathe Life Physical Therapy & Wellness
• Oonagh Breen
• Christopher M Brennan, PT
• Miriam Elizabeth Brennan, BCBA
• Patrick J Brennan, MPT

• Physical Therapy Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.