Elizabeth Petrie, MPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01598000 Issued in NJ

Practice address

15 Liberty Trail
Delran, NJ 08075-0807

Phone

(757) 412-7250

Fax

(757) 412-7250

NPI assigned

Jan 22, 2018

Last updated

Jan 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BPT Physical Therapy, LLCGroup PAC ID 0042560518, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BPT Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Moorestown, NJ
  • NPI 1427547447
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1730697079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LIBERTY TRL",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751341",
            "telephone_number": "757-412-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LIBERTY TRAIL",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080750807",
            "telephone_number": "757-412-7250",
            "fax_number": "757-412-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "ELIZABETH",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01598000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie June Peed
• Lutsiya S Pelimskaya, MD
• Richard Perello, D.D.S.
• Sahara Perkins, LCSW
• Autumn Perlmutter
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
• Kimone Anieka Plummer, M.S.
• Erica B Polaneczky, APNC
• August R Polino, D.C.
• Jason R Polino, D.C.

• Physical Therapy Clinic/Center in Delran, NJ
• Providers in Delran, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.