Individual provider Active NPI

Jenna Scuilli, PT, DPT

  • Physical Therapist
  • Sewell, NJ
National Provider Identifier
1841844198
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01868500 Issued in NJ
Practice address
14 Parke Place Blvd Ste D
Sewell, NJ 08080-2662
Phone
(856) 256-8393
Fax
(856) 256-8390
NPI assigned
Jul 25, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01868500 NJ Primary

Addresses

Primary practice location

14 Parke Place Blvd Ste D
Sewell, NJ 08080-2662

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

1820 Old Cuthbert Rd
Cherry Hill, NJ 08034-1414
Phone (856) 661-0215

Other names 1

  • Jenna Garten Former name

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

LicenseStateTypeSpecialty
40QA01868500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therasport Physical Therapy, LLC Physical Therapist CurrentSince Jul 31, 2019 Accepting new patients
Twin Boro Physical Therapy Associates, PA PastSince Feb 14, 2022 Accepting new patients

Locations

1820 Old Cuthbert Rd
Cherry Hill, NJ 08034
Phone (856) 401-8585

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1841844198",
    "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": "14 PARKE PLACE BLVD STE D",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802662",
            "telephone_number": "856-256-8393",
            "fax_number": "856-256-8390"
        }
    ],
    "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": "1820 Old Cuthbert Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341414",
            "country_code": "US",
            "telephone_number": "856-661-0215",
            "fax_number": "856-433-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCUILLI",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01868500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "GARTEN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.