Individual provider Active NPI

Stephanie Engeleit

  • Physical Therapist
  • Willingboro, NJ
National Provider Identifier
1750029740
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
200 Campbell Dr Ste 107
Willingboro, NJ 08046-1067
Phone
(609) 614-3997
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

200 Campbell Dr Ste 107
Willingboro, NJ 08046-1067

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (142) 944-0509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220625000046 NJ Practitioner - Physical Therapist in Private Practice 9436538147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Boro Physical Therapy Associates, PAGroup PAC ID 8527962950, 89 clinicians

Practice addresses (Care Compare)

200 Tuckerton Rd
Suite 17
Medford, NJ 08055-8806
Phone (856) 396-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince Feb 27, 2023 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Apr 29, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Rehabclinics SPT Inc PastSince Feb 27, 2023 Accepting new patients

Locations

540 Route 130
Ste G1
East Windsor, NJ 08520
Phone (609) 301-8489

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

200 Tuckerton Rd
Ste 17
Medford, NJ 08055
Phone (856) 396-2250

4101 Church Rd
Mount Laurel, NJ 08054
Phone (856) 396-2250

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

200 Campbell Dr
Ste 107
Willingboro, NJ 08046
Phone (609) 614-3997

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1750029740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "142-944-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAMPBELL DR STE 107",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461067",
            "telephone_number": "609-614-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELEIT",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.