Active NPI
Rebecca Knight Warren
- Physical Therapist
- Hainesport, NJ
National Provider Identifier
1811197692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00849700
- Practice address
- Creek Crossing Blvd
Blding 100, Ste 107
Hainesport, NJ 08036 - Phone
- (609) 265-0700
- Fax
- (609) 265-0708
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 40QA00849700 | NJ | Primary |
Addresses
Primary practice location
Creek Crossing Blvd
Blding 100, Ste 107
Hainesport, NJ 08036
Mailing address
50 Charter Oak LN
Marlton, NJ 08053-1035
Phone (856) 596-1218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00849700 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1811197692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CHARTER OAK LN",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531035",
"telephone_number": "856-596-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CREEK CROSSING BLVD",
"address_2": "BLDING 100, STE 107",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "08036",
"telephone_number": "609-265-0700",
"fax_number": "609-265-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "REBECCA",
"middle_name": "KNIGHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00849700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hainesport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.