Organization Active NPI

Landry Physical Therapy & Wellness Services, LLC

  • Specialist
  • Marlton, NJ
National Provider Identifier
1982840187
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00871000 Issued in NJ
Legal business name
LANDRY PHYSICAL THERAPY & WELLNESS SERVICES, LLC
Practice address
111 Church Rd
Marlton, NJ 08053-9410
Phone
(856) 334-8549
Fax
(866) 812-0413
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Cheryl Landry, P.T.
Title
Ceo
Phone
(856) 334-8549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40QA00871000 NJ Primary

Addresses

Primary practice location

111 Church Rd
Marlton, NJ 08053-9410

Mailing address

PO Box 253
Haddonfield, NJ 08033-0173
Phone (856) 334-8549

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1982840187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080330173",
            "telephone_number": "856-334-8549",
            "fax_number": "866-812-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539410",
            "telephone_number": "856-334-8549",
            "fax_number": "866-812-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY PHYSICAL THERAPY & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-334-8549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00871000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.