Individual provider Active NPI

John George Stuckert Jr., P.T.

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1982657136
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00555700 Issued in NJ
Practice address
1765 Springdale Rd
Building a
Cherry Hill, NJ 08003-2177
Phone
(856) 751-8787
Fax
(856) 751-0449
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00555700 NJ Primary

Addresses

Primary practice location

1765 Springdale Rd
Building a
Cherry Hill, NJ 08003-2177

Mailing address

282 Echelon Rd
Apt #6
Voorhees, NJ 08043-2402
Phone (856) 701-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730003575 NJ Practitioner - Physical Therapist in Private Practice 8426130634 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00555700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince Apr 22, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

240 S White Horse Pike
Ste C6
Hammonton, NJ 08037
Phone (609) 561-5308

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1982657136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 ECHELON RD",
            "address_2": "APT #6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432402",
            "telephone_number": "856-701-8765",
            "fax_number": "856-566-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 SPRINGDALE RD",
            "address_2": "BUILDING A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032177",
            "telephone_number": "856-751-8787",
            "fax_number": "856-751-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKERT",
        "first_name": "JOHN",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00555700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.

Verify at the official NPI Registry.