Active NPI
Anthony Diorisio, PT, DPT
- Physical Therapist
- Logan Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA012253
- Practice address
- 520 Beckett Rd Ste 200
Logan Township, NJ 08085-1732 - Phone
- (856) 467-3421
- Fax
- (856) 467-5731
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA012253 | NJ | Primary |
Addresses
Primary practice location
520 Beckett Rd Ste 200
Logan Township, NJ 08085-1732
Mailing address
520 Beckett Rd Ste 200
Logan Township, NJ 08085-1732
Phone (856) 467-3421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA012253 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Rehabclinics SPT Inc. | Current | Accepting new patients |
Locations
2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320
127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275
269 N Broadway
#B
Pennsville, NJ 08070
Phone (856) 678-5484
520 Beckett Rd
Ste 200
Swedesboro, NJ 08085
Phone (856) 467-3421
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.
-
- Physical Therapy Clinic/Center
- Little Egg Harbor, NJ
- NPI 1699113688
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1043271216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1760560163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 BECKETT RD STE 200",
"city": "LOGAN TOWNSHIP",
"state": "NJ",
"postal_code": "080851732",
"telephone_number": "856-467-3421",
"fax_number": "856-467-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 BECKETT RD STE 200",
"city": "LOGAN TOWNSHIP",
"state": "NJ",
"postal_code": "080851732",
"telephone_number": "856-467-3421",
"fax_number": "856-467-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIORISIO",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA012253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.