Organization Active NPI

One Body Physical Therapy and Sports Rehab

  • Physical Therapy Clinic/Center
  • Medford, NJ
National Provider Identifier
1790273621
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ONE BODY PHYSICAL THERAPY AND SPORTS REHAB
Practice address
38 Sunset TRL
Medford, NJ 08055-2812
Phone
(414) 202-4438
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Mrs. Svetlana Mellein, DPT
Title
Owner/Physical Therapist
Phone
(414) 202-4438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

38 Sunset TRL
Medford, NJ 08055-2812

Mailing address

38 Sunset TRL
Medford, NJ 08055-2812
Phone (414) 202-4438

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1790273621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SUNSET TRL",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552812",
            "telephone_number": "414-202-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SUNSET TRL",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552812",
            "telephone_number": "414-202-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE BODY PHYSICAL THERAPY AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "MELLEIN",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "414-202-4438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.