NPIMap

Organization Active NPI

Trubody Physical Therapy

  • Physical Therapist
  • Cinnaminson, NJ
National Provider Identifier
1588052955
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01440200 Issued in NJ
Legal business name
TRUBODY PHYSICAL THERAPY
Practice address
1911 Cinnaminson Ave
Cinnaminson, NJ 08077-2818
Phone
(855) 698-7826
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. Toniesha Nykima Utuk, DPTNPI 1861753089
Title
Owner
Phone
(609) 505-1774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01440200 NJ Primary

Addresses

Primary practice location

1911 Cinnaminson Ave
Cinnaminson, NJ 08077-2818

Mailing address

9303 Blue Heron CT
Palmyra, NJ 08065-2162

National Provider Directory

National Provider Directory

Locations

1911 Cinnaminson Ave
Cinnaminson, NJ 08077
Phone (855) 698-7826

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1588052955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 BLUE HERON CT",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080652162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CINNAMINSON AVE",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772818",
            "telephone_number": "855-698-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUBODY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "UTUK",
        "authorized_official_first_name": "TONIESHA",
        "authorized_official_middle_name": "NYKIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-505-1774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01440200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.