Individual provider Active NPI

Ronald Joseph Mitchell, MPT

  • Physical Therapy Clinic/Center
  • Williamstown, NJ
National Provider Identifier
1700977733
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00482900 Issued in NJ
Practice address
1828 Cornus CT
Williamstown, NJ 08094-4628
Phone
(856) 296-3412
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00482900 NJ Primary

Addresses

Primary practice location

1828 Cornus CT
Williamstown, NJ 08094-4628

Mailing address

1828 Cornus CT
Williamstown, NJ 08094-4628
Phone (856) 296-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000403 NJ Practitioner - Physical Therapist in Private Practice 7315032216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gloucester County Special Services School DistrictGroup PAC ID 9133640709, 4 clinicians

Practice addresses (Care Compare)

1474 Tanyard Rd
E102 Cross Therapy Services
Sewell, NJ 08080-4222
Phone (856) 681-6137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40QA00482900NJMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Gloucester County Special Services School District Physical Therapy CurrentSince May 1, 2025 Accepting new patients
Robert J Romalino PT, PC Physical Therapy PastSince Aug 9, 2001 Accepting new patients

Locations

1474 Tanyard Rd
Ste E102
Sewell, NJ 08080
Phone (856) 681-6137

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1700977733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 CORNUS CT",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080944628",
            "telephone_number": "856-296-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 CORNUS CT",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080944628",
            "telephone_number": "856-296-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00482900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.