SHALOM THERAPEUTIC SERVICES LLC (NPI# 1780059527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780059527 |
| Entity Type | Organization |
| Organization Name | SHALOM THERAPEUTIC SERVICES LLC |
| Practice Address |
1374 White Horse Hamilton Square Rd 301 Hamilton NJ 08690 |
| Practice Telephone | 6099353554 |
| Mailing Telephone | 6099353554 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-02-03 |
| Authorized Official Name | PRATHIBHA GOTTUMUKKALA (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7326097155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01534600 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1374 WHITE HORSE HAMILTON SQUARE RD 301 |
| City | HAMILTON |
| State | NJ |
| Zip Code | 08690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982936 | Sarah Moore | Registered Nurse | Robert Wood Johnson Hospital, 1 Hamilton Health Place, Hamilton, NJ 08690 | 2020-02-03 |
| 1871136598 | Ariel Alexis Nardini | Counselor | 2135 Nj-33, Trenton, NJ 08690 | 2019-10-25 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1043736978 | Sanna Quasmieh | Occupational Therapist | 2277 Route 33 Ste 411, Hamilton, NJ 08690 | 2017-08-22 |
| 1972054336 | Joseph Cacciabaudo | Specialist | 864 Estates Blvd., Hamilton Square, NJ 08690 | 2016-10-20 |
| 1629432315 | Liqin Zhang | Nurse Practitioner | 2065 Klockner Rd., Trenton, NJ 08690 | 2016-04-08 |
| 1639554926 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 433 Princeton Ave, Hamilton, NJ 08690 | 2015-07-28 |
| 1043692783 | Hamilton Township Dental Associates LLC | Dentist | 1262 Whitehorse Hamilton Square Road, Hamilton Township, NJ 08690 | 2015-06-18 |
| 1255710182 | Lauren Domanski | Chiropractor | 1670 Whitehorse Hamilton Sq. Rd., Hamilton, NJ 08690 | 2015-05-26 |
| 1053702241 | Aniela Siniakowicz | Dentist | 2279 Route #33, Suite #513, Hamilton Square, NJ 08690 | 2015-02-10 |
| Find all providers in zip 08690 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831611227 | Trinity Rehab Somerset Pa | Clinic/Center | 3635 Quakerbridge Rd Ste 38, Hamilton, NJ 08619-1247 | 2017-07-07 |
| 1205857133 | Centers for Physical Therapy @ St. Frances | Clinic/Center | 1 Aaa Dr, Suite 102, Hamilton, NJ 08691-1811 | 2006-07-23 |
| 1023057064 | Hamilton Physical Therapy PC | Clinic/Center | 336 Fairgrounds Rd, Hamilton, MT 59840-3126 | 2006-06-05 |
| 1720077266 | Peter A. Towne Physical Therapy, Inc. | Clinic/Center | 1390 Eaton Ave, Hamilton, OH 45013-1407 | 2005-10-18 |
| 1912389982 | Encore Rehabilitation, Inc. | Clinic/Center | 1261 Military St S, Hamilton, AL 35570-5004 | 2015-06-25 |
| 1104203330 | Katriel Rehab Inc. | Clinic/Center | 1374 Whitehorse Hamilton Square Rd, Suite 301, Hamilton, NJ 08690-3701 | 2015-04-27 |
| 1336557313 | Healing Rehab,llc | Clinic/Center | 2277 Route 33, Suite 411, Hamilton, NJ 08690-1700 | 2014-07-23 |
| 1184673931 | Butler County Ancillary Services | Clinic/Center | 3075 Hamilton Mason Rd, Hamilton, OH 45011-5307 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.