Active NPI
Elizabeth Paige Samuel, MPT
- Physical Therapist
- Sicklerville, NJ
National Provider Identifier
1861460362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00993000
- Practice address
- 542 Berlin Cross Keys Rd
Winslow Plaza, Suite 1
Sicklerville, NJ 08081-4367 - Phone
- (856) 740-0009
- Fax
- (856) 262-0469
- NPI assigned
- Mar 9, 2006
- 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 | 40QA00993000 | NJ | Primary |
Addresses
Primary practice location
542 Berlin Cross Keys Rd
Winslow Plaza, Suite 1
Sicklerville, NJ 08081-4367
Mailing address
223 Woodcreek Rd
Wenonah, NJ 08090-2062
Phone (609) 206-7708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Rehabclinics SPT Inc. | Current | Accepting new patients |
Locations
2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Little Egg Harbor, NJ
- NPI 1699113688
-
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Physical Therapy Clinic/Center
- Moorestown, NJ
- NPI 1346246824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1861460362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 WOODCREEK RD",
"city": "WENONAH",
"state": "NJ",
"postal_code": "080902062",
"telephone_number": "609-206-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 BERLIN CROSS KEYS RD",
"address_2": "WINSLOW PLAZA, SUITE 1",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814367",
"telephone_number": "856-740-0009",
"fax_number": "856-262-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "ELIZABETH",
"middle_name": "PAIGE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00993000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.