Organization Active NPI

Professional Therapy Services, LLC

Doing business as Pediatric Therapy and Development Center

  • Pediatric Occupational Therapist
  • Pilesgrove, NJ
National Provider Identifier
1619100435
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR001115 Issued in NJ
Legal business name
PROFESSIONAL THERAPY SERVICES, LLC
Doing business as
Pediatric Therapy and Development Center
Practice address
1 Caroline CT
Pilesgrove, NJ 08098-2741
Phone
(856) 769-1049
Fax
(856) 769-1049
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Ms. Geraldine Healy Marini, OT
Title
Director
Phone
(856) 678-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR001115 NJ Primary

Addresses

Primary practice location

1 Caroline CT
Pilesgrove, NJ 08098-2741

Mailing address

111 S Broadway
Suite a
Pennsville, NJ 08070-2038
Phone (856) 678-4701

Other names 1

  • Pediatric Therapy and Development Center Doing business as

National Provider Directory

National Provider Directory

Locations

111 S Broadway
#A
Pennsville, NJ 08070

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1619100435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BROADWAY",
            "address_2": "SUITE A",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080702038",
            "telephone_number": "856-678-4701",
            "fax_number": "856-678-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAROLINE CT",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080982741",
            "telephone_number": "856-769-1049",
            "fax_number": "856-769-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "MARINI",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "HEALY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-678-4701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR001115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Therapy and Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pilesgrove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.