Caruso Physical Therapy and Nutrition, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

261QP2000X Issued in NJ

Legal business name

CARUSO PHYSICAL THERAPY AND NUTRITION, LLC

Practice address

1278 Yardville Allentown Rd
Allentown, NJ 08501-1866

Phone

(609) 584-9594

Fax

(609) 584-9594

NPI assigned

Nov 19, 2011

Last updated

Aug 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia Ann Caruso, MA, RDNNPI 1205139508

Title

Ceo/ Owner

Phone

(609) 738-3143

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 8

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.

• Olivia Ann Caruso, MA, RD, LDN

  • Registered Dietitian
  • Allentown, NJ
  • NPI 1205139508
  Authorized official Same address or phone
• Brianna De la Cruz

  • Registered Dietitian
  • Hillsborough, NJ
  • NPI 1225739592
  NPD
• Kelsey Joan Gmitter, RD

  • Registered Dietitian
  • Allentown, NJ
  • NPI 1730988429
  NPD
• Danielle Legendre Liegl, P.T.

  • Physical Therapist
  • Princeton, NJ
  • NPI 1679552384
  NPD
• Erica Newborn, DPT

  • Physical Therapist
  • Allentown, NJ
  • NPI 1437768348
  NPD
• Haley Lynn Bencivengo, MS

  • Registered Dietitian
  • Allentown, NJ
  • NPI 1174489785
  NPD (past)
• Hadley Rose Borkowski

  • Registered Dietitian
  • Allentown, NJ
  • NPI 1548177892
  NPD (past)
• Karen Allison Stave, R.D.

  • Registered Dietitian
  • Durham, NC
  • NPI 1780057760
  NPD (past)

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1578830576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 YARDVILLE ALLENTOWN RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011866",
            "telephone_number": "609-584-9594",
            "fax_number": "609-584-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 YARDVILLE ALLENTOWN RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011866",
            "telephone_number": "609-584-9594",
            "fax_number": "609-584-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUSO PHYSICAL THERAPY AND NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "609-738-3143",
        "authorized_official_credential": "MA, RDN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "261QP2000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID- TYPE UNSPECIFIED",
            "identifier": "096178UDE",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianna Boucher, DPT
• Mark William Bramble, ATC
• Janice Buchalski
• Kerry Anne Burke
• Curtis William Byrnes, D.O.
• Olivia Ann Caruso, MA, RD, LDN
• Kathy Diane Cary, MSPT
• Caren Marie Castaldo, LPC
• Valentine Joseph Castellano
• Kevin Clark, DAOM, LAC, NCC, EMDR

• Physical Therapy Clinic/Center in Allentown, NJ
• Providers in Allentown, 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 Aug 31, 2021; 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.