Ipta Clinical, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IPTA CLINICAL, LLC

Practice address

175 Route 70
Suite 19
Medford, NJ 08055-2300

Phone

(609) 714-3378

Fax

(856) 583-6004

NPI assigned

Sep 20, 2011

Last updated

Jun 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanine Doherty

Title

Operations Manager

Phone

(609) 257-3750

Specialties & licenses 1

Addresses

Other names 1

• 3 Dimensional Physical Therapy Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ, PA3 enrollments

Enrollment records 3

Locations

Practitioners 202

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.

• Nosheen Ali Ameeri, MPT, OCS

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1811962152
  Medicare reassignment Care Compare group NPD
• Sophia Apgar, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Cherry Hill, NJ
  • NPI 1609580679
  Medicare reassignment Care Compare group NPD
• Charles Joseph Bachi IV, PT, DPT, OCS, SCS

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1821386665
  Medicare reassignment Care Compare group NPD
• Tyler Baer, PT, DPT

  • Physical Therapist
  • Tabernacle, NJ
  • NPI 1063376101
  Medicare reassignment Care Compare group NPD
• Barbara Claire Barron

  • Physical Therapist
  • West Berlin, NJ
  • NPI 1669017463
  Medicare reassignment Care Compare group NPD
• Nicholas Andrew Bianco, PT, DPT

  • Physical Therapist
  • Sewell, NJ
  • NPI 1922968783
  Medicare reassignment Care Compare group NPD
• Zach S Bille

  • Physical Therapist
  • Haddonfield, NJ
  • NPI 1255166815
  Medicare reassignment Care Compare group NPD
• Adrianna Boucher, DPT

  • Physical Therapist
  • Allentown, NJ
  • NPI 1255944435
  Medicare reassignment Care Compare group NPD
• Jonathan Boyd

  • Orthopedic Physical Therapist
  • Williamstown, NJ
  • NPI 1750151932
  Medicare reassignment Care Compare group NPD
• Alexa Rae Brown, DPT

  • Physical Therapist
  • Medford, NJ
  • NPI 1316830367
  Medicare reassignment Care Compare group NPD
• Connor Cheeseman

  • Physical Therapist
  • Cinnaminson, NJ
  • NPI 1073494324
  Medicare reassignment Care Compare group NPD
• Brian Cherrington, PT, DPT

  • Physical Therapist
  • Haddon Heights, NJ
  • NPI 1508576737
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1760764484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROUTE 70",
            "address_2": "SUITE 19",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552300",
            "telephone_number": "609-714-3378",
            "fax_number": "856-583-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 70",
            "address_2": "SUITE 19",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552300",
            "telephone_number": "609-714-3378",
            "fax_number": "856-583-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPTA CLINICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "609-257-3750"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3 Dimensional Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jamie Hyler-Naude, SLP
• Unuigbe Benard Imoobe
• Lori Beth Infeld, MA, LPC
• Paul Joshua Inguardi, DMD
• Interweave Counseling and Wellness LLC
• Asma Islam, MD
• Alec J Iula I
• Ivyrehab Network, Inc.
• Jasmine Cedra Denise Jackson
• Marlene Jacobs-Kaplan, MSW LCSW

• Physical Therapy Clinic/Center in Medford, NJ
• Providers in Medford, 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 Jun 1, 2021; 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.

Verify at the official NPI Registry.