Jeannine Denise Mortelliti, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00658700 Issued in NJ

Practice address

129 N White Horse Pike
Hammonton, NJ 08037-1893

Phone

(609) 704-1980

Fax

(609) 704-9054

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1851027353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371893",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371893",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTELLITI",
        "first_name": "JEANNINE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00658700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Moody Sr.
• Betsy T Moolamkuzhy
• Rebecca Chrisitane Moore, D.O.
• James Michael Moriarty, D.D.S.
• Tiffany Mortellite, MS CCC-SLP
• Eileen Mullin, CNM
• Lauren Muniz
• Emily Jane Myers, M.S., CCC-SLP
• Carolyn Nardi
• Amelia Rita Neil, OTR/L

• Physical Therapist in Hammonton, NJ
• Providers in Hammonton, 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 Jul 27, 2022; 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.