Cheryl L. Landry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00871000 Issued in NJ

Practice address

626 McKendimen Rd
Medford, NJ 08055-9777

Phone

(609) 760-8615

NPI assigned

Jun 20, 2006

Last updated

May 21, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Orthopedic & Sports Physical Therapy PC

  • Physical Therapist
  • Hammonton, NJ
  • NPI 1497701452
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1861438905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MCKENDIMEN RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559777",
            "telephone_number": "609-760-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MCKENDIMEN RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559777",
            "telephone_number": "609-760-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "CHERYL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00871000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11776537",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kretschy, MPS, ATR-BC
• Michael L. Krusinski, D.M.D.
• Christopher J Kulas, DMD
• John Kupcha, DDS
• Dawn R Lahuta, RPH
• Michael K Lanzilotta, D.C.
• John Raymond Law, D.C.
• Hailey Ann Layton, PT, DPT
• Lcassists
• Catherine Lederman

• Physical Therapist in Medford, NJ
• Providers in Medford, 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 May 21, 2013; 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.