Active NPI
Michele Warren, PT
- Specialist
- Cherry Hill, NJ
National Provider Identifier
1588753396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA00388400
- Practice address
- 1301 Springdale Rd
Cherry Hill, NJ 08003-2763 - Phone
- (856) 424-4444
- Fax
- (856) 673-2589
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA00388400 | NJ | Primary |
| Specialist | 174400000X | PT001674E | PA |
Addresses
Primary practice location
1301 Springdale Rd
Cherry Hill, NJ 08003-2763
Mailing address
103 Simi CT
Cherry Hill, NJ 08003-3752
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1412556 | Other | NJ | UNITEDHEALTHCARE MPIN |
| 147339 | Other | NJ | AMERIHEALTH |
| 2230040 | Other | NJ | FIRST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00388400 | NJ | MD | Specialist |
| PT001674E | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588753396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SIMI CT",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SPRINGDALE RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032763",
"telephone_number": "856-424-4444",
"fax_number": "856-673-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "MICHELE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA00388400",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "PT001674E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE MPIN",
"identifier": "1412556",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "147339",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2230040",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.