Organization Active NPI

Physical Therapy Services Rutala, Ingemi & Barbara LLC

Doing business as none

  • Physical Therapist
  • Bridgeton, NJ
National Provider Identifier
1700832706
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA05636 Issued in NJ
Legal business name
PHYSICAL THERAPY SERVICES RUTALA, INGEMI & BARBARA LLC
Doing business as
none
Practice address
70 Manheim Ave
Suite 3
Bridgeton, NJ 08302-2136
Phone
(856) 455-9700
Fax
(856) 455-9791
NPI assigned
May 25, 2006
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Mr. Basil J Ingemi Jr, PHYSICAL THERAPIST
Title
Partner/Treasurer
Phone
(856) 455-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA05636 NJ Primary

Addresses

Primary practice location

70 Manheim Ave
Suite 3
Bridgeton, NJ 08302-2136

Mailing address

70 Manheim Ave
Suite 3
Bridgeton, NJ 08302-2136
Phone (856) 455-9700

Other names 1

  • none Doing business as

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, 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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1700832706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MANHEIM AVE",
            "address_2": "SUITE 3",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022136",
            "telephone_number": "856-455-9700",
            "fax_number": "856-455-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MANHEIM AVE",
            "address_2": "SUITE 3",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022136",
            "telephone_number": "856-455-9700",
            "fax_number": "856-455-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES RUTALA, INGEMI & BARBARA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "INGEMI JR",
        "authorized_official_first_name": "BASIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER/TREASURER",
        "authorized_official_telephone_number": "856-455-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA05636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.