Virtua-Ivy Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VIRTUA-IVY REHAB LLC

Practice address

773 E Route 70
BLDG E-110
Marlton, NJ 08053-2362

Phone

(856) 282-0339

NPI assigned

Feb 18, 2016

Organization subpart

Yes

Parent organization

VIRTUA HEALTH INCAs reported in NPPES

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

Authorized official

Name

Robert Segin

Title

Cfo/Evp

Phone

(856) 355-0012

Specialties & licenses 1

Addresses

Part of

Virtua Health Inc

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1902265978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LIPPINCOTT DR",
            "address_2": "2ND FLOOR - ATTN: FRAN BLACKWELL",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534160",
            "telephone_number": "856-355-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 E ROUTE 70",
            "address_2": "BLDG E-110",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532362",
            "telephone_number": "856-282-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA-IVY REHAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUA HEALTH INC",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "SEGIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO/EVP",
        "authorized_official_telephone_number": "856-355-0012"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtua - West Jersey Health System, Inc.
• Virtua Health Inc
• Virtua Hospital Marlton
• Virtua Medical Group, PA
• Virtua Medical Group, PA
• Vita Counseling Services LLCS
• Vital Care HS, LLC
• Vivienne Irene Matalon MD PC
• Cristina Vlas, FNP
• Voorhees Pain Consultants PA

• Physical Therapy Clinic/Center in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.