Active NPI
Nancy Miriam Prickett, PT, NCS,GCS
- Geriatric Physical Therapist
- Mount Holly, NJ
National Provider Identifier
1609844893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 40QA00228400
- Practice address
- 300 Campus Dr
Mount Holly, NJ 08060-9604 - Phone
- (609) 261-3434
- NPI assigned
- Mar 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 40QA00228400 | NJ | Primary |
Addresses
Primary practice location
300 Campus Dr
Mount Holly, NJ 08060-9604
Mailing address
27 Ridge Ave
Mount Holly, NJ 08060-1638
Phone (609) 261-5458
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
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Mount Holly, NJ
- NPI 1104871128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609844893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 RIDGE AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601638",
"telephone_number": "609-261-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CAMPUS DR",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080609604",
"telephone_number": "609-261-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICKETT",
"first_name": "NANCY",
"middle_name": "MIRIAM",
"credential": "PT, NCS,GCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NJ",
"license": "40QA00228400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.