Active NPI
Samatha Thach, PT, DPT
- Physical Therapist
- Delran, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02253300
- Practice address
- 3104 Bridgeboro Rd Ste B
Delran, NJ 08075-9716 - Phone
- (856) 460-6424
- Fax
- (856) 544-3286
- NPI assigned
- Dec 23, 2024
- Last updated
- Dec 23, 2024
- 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 | 40QA02253300 | NJ | Primary |
Addresses
Primary practice location
3104 Bridgeboro Rd Ste B
Delran, NJ 08075-9716
Mailing address
14 Parke Place Blvd Ste D
Sewell, NJ 08080-2662
Phone (856) 256-8393
Other practice location 1
30 W Maple Ave
Merchantville, NJ 08109-5104
Phone (856) 661-0200
Other practice location 2
14 Parke Place Blvd Ste D
Sewell, NJ 08080-2662
Phone (562) 568-3938
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 |
|---|---|---|---|
| 40QA02253300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therasport Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ipta Clinical, LLC | Physical Therapist | Current | Accepting new patients |
| 3 Dimensional Physical Therapy - Pelvic Health LLC | Physical Therapist | Past | Accepting new patients |
Locations
3104 Bridgeboro Rd
Ste B
Delran, NJ 08075
Phone (856) 460-6424
175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750
30 W Maple Ave
Merchantville, NJ 08109
Phone (856) 661-0200
14 Parke Place Blvd
Ste D
Sewell, NJ 08080
Phone (856) 256-8393
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Sewell, NJ
- NPI 1649486515
Physical Therapist
-
- Physical Therapist
- Medford, NJ
- NPI 1275348500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1811705726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PARKE PLACE BLVD STE D",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802662",
"telephone_number": "856-256-8393",
"fax_number": "856-256-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 BRIDGEBORO RD STE B",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080759716",
"telephone_number": "856-460-6424",
"fax_number": "856-544-3286"
}
],
"practiceLocations": [
{
"address_1": "30 W Maple Ave",
"address_purpose": "LOCATION",
"city": "Merchantville",
"state": "NJ",
"postal_code": "081095104",
"country_code": "US",
"telephone_number": "856-661-0200",
"fax_number": "856-661-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Parke Place Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080802662",
"country_code": "US",
"telephone_number": "562-568-3938",
"fax_number": "856-256-8390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THACH",
"first_name": "SAMATHA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02253300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delran, NJ
- Julie Sygenda- McCormick, PA-C
- Jessica Szymanski
- Megan Tammaro
- Teresa Smith Ball LLC (Delran Family Practice)
- Lindsey Terry
- The Center for Emotional Health of Greater Philadelphia
- The Foot Doctors & Wound Care Specialists PC
- The Soul Sisters Home Health Care, LLC
- Therapy Co With Rachel
- Amy Michelle Thompkins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.