Beyond Balance & Rehabilitation LLC
Organization Active NPI Physical Therapy Clinic/Center · Hammonton, NJ
NPI 1780207100 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1780207100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- BEYOND BALANCE & REHABILITATION LLC
- Practice address
- 777 S White Horse Pike Ste D3
Hammonton, NJ 08037-2029 - Phone
- (609) 828-2602
- NPI assigned
- May 20, 2020
- Organization subpart
- No
Authorized official
- Name
- Matthew John Triboletti, DPT
- Title
- Owner
- Phone
- (609) 204-4621
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200611000039 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1658792015 |
Receives reassigned benefits from 1 practitioner Practice locations: Hammonton, NJ |
National Provider Directory
Locations
777 S White Horse Pike
Ste D3
Hammonton, NJ 08037
Phone (609) 204-4621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
777 S White Horse Pike Ste D3
Hammonton, NJ 08037-2029
Mailing address
777 S White Horse Pike Ste D3
Hammonton, NJ 08037-2029
Phone (609) 481-2760
Other providers in Hammonton, NJ
- McKenzie Beebe
- Alina Bejaran
- Juan Bejaran
- Albert J Belli Jr.
- Ashley Benedetto
- Priyanky Bhatt
- Jamil Bhatti
- Saima A Bhutta
- David Bianco
- Birendra N Tandan MD LLC
All providers in Hammonton, NJ · Physical Therapy Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.