Nicole Teresa Ogletree

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01967200 Issued in NJ

Practice address

1501 Old Black Horse Pike Apt F9
Blackwood, NJ 08012-4927

Phone

(856) 404-0904

Fax

(856) 373-5040

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Teresa Foschini Former name

Medicare fee-for-service enrollment

Enrolled in NC, NJ2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Recover Physical Therapy

  • Clinic/Center
  • Blackwood, NJ
  • NPI 1194354407
  Medicare reassignment
• Recover Physical Therapy

  • Physical Therapy Clinic/Center
  • Yardley, PA
  • NPI 1407427370
  NPD
• Recover Physical Therapy and Wellness

  • Physical Therapist
  • Laurel Springs, NJ
  • NPI 1053200162
  NPD (past)
• Sports & More Physical Therapy, Inc.

  • Physical Therapist
  • Raleigh, NC
  • NPI 1134229669
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1801356241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT F9",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124927",
            "telephone_number": "856-404-0904",
            "fax_number": "856-373-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT F9",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124927",
            "telephone_number": "856-404-0904",
            "fax_number": "856-373-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "NICOLE",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18545",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01967200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FOSCHINI",
            "middle_name": "TERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nurse Practitioner Professional Resources
• Benjamin Nwanonenyi
• Kathleen Ann O'Shea, APN
• Ocean Winds Counseling Service, LLC
• Mojisola Odunuga, FNP-BC
• William Michael Ogletree, CNIM
• Oluwasanmi Abiodun Ojo
• Joseph E Olcese
• Brittany Rose Owens, M.D.
• Darlene Palermo

• Physical Therapist in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.