Matthew Johnson, DPT

Individual provider Active NPI Physical Therapist · Burlington Township, NJ

NPI 1700475217 · NPPES record last updated Jan 11, 2021

Key facts

NPI
1700475217
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
2103 Burlington Mount Holly Rd
Burlington Township, NJ 08016-4157
Phone
(609) 386-1460
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

2103 Burlington Mount Holly Rd
Burlington Township, NJ 08016-4157

Mailing address

763 Woodlane Rd
Edgewater Park, NJ 08010-1901
Phone (609) 634-0848

Other providers in Burlington Township, NJ

All providers in Burlington Township, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.