Team Rehab P.a

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00400900 Issued in NJ

Legal business name

TEAM REHAB P.A

Practice address

1007 Mantua Pike
Woodbury, NJ 08096-3963

Phone

(856) 845-1253

Fax

(856) 845-3779

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael John Donoghue, PTNPI 1619902897

Title

Owner

Phone

(856) 845-1253

Specialties & licenses 1

Addresses

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.

• Michael John Donoghue, PT ATC

  • Physical Therapist
  • Woodbury, NJ
  • NPI 1619902897
  Authorized official Same address or phone

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1699794784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963963",
            "telephone_number": "856-845-1253",
            "fax_number": "856-845-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080963963",
            "telephone_number": "856-845-1253",
            "fax_number": "856-845-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM REHAB P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "DONOGHUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-845-1253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00400900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalia Taylor-Johnson
• Bridget Taylor, LSW
• Christine A Taylor, WHNP BC
• Dawn Taylor, MA, CCC-A
• Robert Brownlee Taylor
• Patrick Teesdale Jr., CRNA
• Karen Teitelman, DO
• David A Temmermand, DO
• Jacquelyn Terch
• The Center for Cancer & Hematologic Disease

• Physical Therapist in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.