Individual provider Active NPI

Emily Minnie Fendrick

  • Physical Therapist
  • Voorhees, NJ
National Provider Identifier
1629808357
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02268800 Issued in NJ
Practice address
701 Cooper Rd Ste 12
Voorhees, NJ 08043-3800
Phone
(856) 746-4600
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02268800 NJ Primary

Addresses

Primary practice location

701 Cooper Rd Ste 12
Voorhees, NJ 08043-3800

Mailing address

26 Nolen Cir
Voorhees, NJ 08043-4109
Phone (609) 712-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240904002222 NJ Practitioner - Physical Therapist in Private Practice 2365982493 Reassigns benefits to 1 organization
I20260127000346 PA Practitioner - Physical Therapist in Private Practice 2365982493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians
Twin Boro Physical Therapy Associates, PAGroup PAC ID 8527962950, 89 clinicians

Practice addresses (Care Compare)

1608 Walnut St
FL 2
Philadelphia, PA 19103-5457
Phone (215) 545-8717

701 Cooper Rd
Suite 12
Voorhees, NJ 08043-3800
Phone (856) 346-0526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02268800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Aug 5, 2024 Accepting new patients

Locations

20 Commerce Dr
Ste 210
Cranford, NJ 07016

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

701 Cooper Rd
Ste 12
Voorhees, NJ 08043
Phone (856) 346-0526

1608 Walnut St
Fl 2
Philadelphia, PA 19103
Phone (215) 545-8717

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1629808357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NOLEN CIR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434109",
            "telephone_number": "609-712-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COOPER RD STE 12",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433800",
            "telephone_number": "856-746-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDRICK",
        "first_name": "EMILY",
        "middle_name": "MINNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02268800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.