Individual provider Active NPI

Amy Fleischman, P.T.

  • Physical Therapist
  • Somerdale, NJ
National Provider Identifier
1508816562
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01158500 Issued in NJ
Practice address
9 Somerdale SQ
Somerdale, NJ 08083-1345
Phone
(856) 566-1311
Fax
(856) 566-1331
NPI assigned
May 11, 2006
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01158500 NJ Primary

Addresses

Primary practice location

9 Somerdale SQ
Somerdale, NJ 08083-1345

Mailing address

5115 Aberdeen Dr
Mount Laurel, NJ 08054-5626
Phone (856) 780-5338

Other names 1

  • Amy Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211001956 NJ Practitioner - Physical Therapist in Private Practice 6608928486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01158500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Aug 1, 2018 Accepting new patients
Rehabclinics SPT Inc CurrentSince Feb 24, 2020 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Aug 1, 2018 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Feb 24, 2020 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

501 5th St
Ste 1
Atco, NJ 08004
Phone (856) 768-3811

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

999 Route 73 N
Ste 301401
Marlton, NJ 08053
Phone (856) 821-6360

999 Route 73 N
Ste 401
Marlton, NJ 08053

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1508816562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 ABERDEEN DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545626",
            "telephone_number": "856-780-5338",
            "fax_number": "856-566-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SOMERDALE SQ",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831345",
            "telephone_number": "856-566-1311",
            "fax_number": "856-566-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMAN",
        "first_name": "AMY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01158500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "JACKSON",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.