Organization Active NPI

Physical Solutions LLC

  • Physical Therapist
  • Voorhees, NJ
National Provider Identifier
1699822015
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA0696300 Issued in NJ
Legal business name
PHYSICAL SOLUTIONS LLC
Practice address
805 Cooper Road
Suite 6
Voorhees, NJ 08043-4305
Phone
(856) 751-8881
Fax
(856) 751-8810
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Theresa Renee Jacob
Title
Billing Manager
Phone
(856) 751-8881

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA0696300 NJ Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 40QA00982700 NJ

Addresses

Primary practice location

805 Cooper Road
Suite 6
Voorhees, NJ 08043-4305

Mailing address

805 Cooper Road
Suite 6
Voorhees, NJ 08043-4305
Phone (856) 751-8881

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1699822015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COOPER ROAD",
            "address_2": "SUITE 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434305",
            "telephone_number": "856-751-8881",
            "fax_number": "856-751-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COOPER ROAD",
            "address_2": "SUITE 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434305",
            "telephone_number": "856-751-8881",
            "fax_number": "856-751-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-751-8881"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA0696300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00982700",
            "primary": false
        }
    ],
    "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 Jun 21, 2018; 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.