Individual provider Active NPI

Evelyn M Speiser, PT

  • Orthopedic Physical Therapist
  • Galloway, NJ
National Provider Identifier
1891071494
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
030643 Issued in NY
Practice address
506 S New York Rd
Galloway, NJ 08205-9761
Phone
(609) 748-0222
Fax
(609) 748-0270
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 030643 NY Primary

Addresses

Primary practice location

506 S New York Rd
Galloway, NJ 08205-9761

Mailing address

506 S New York Rd
Galloway, NJ 08205-9761
Phone (609) 748-0222

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
030643NYMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1891071494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S NEW YORK RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059761",
            "telephone_number": "609-748-0222",
            "fax_number": "609-748-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S NEW YORK RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059761",
            "telephone_number": "609-748-0222",
            "fax_number": "609-748-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEISER",
        "first_name": "EVELYN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "030643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.