ANDREW MALLON PT LLC (NPI# 1790292936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790292936 |
Entity Type | Organization |
Organization Name | ANDREW MALLON PT LLC |
Practice Address |
931 Route 73 S Ste 5a Marlton NJ 08053-9641 |
Mailing Address |
273 Front St Atco NJ 08004-1958 |
Practice Telephone | 8562374703 |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |
Authorized Official Name | ANDREW MALLON (PHYSICAL THERAPIST) |
Authorized Official Telephone | 8562374703 |
Authorized Official Credential | PT, DPT, ATC, CS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
931 ROUTE 73 S STE 5A |
City | MARLTON |
State | NJ |
Zip Code | 08053-9641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
Find all providers in zip 08053 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316457310 | Shannon Marie Urban | Physical Therapist | 100 Old Marlton Pike, Marlton, NJ 08053-0805 | 2017-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
1871104463 | Katja Zeisler | Physical Therapist | 395 Grand St Fl 3, Jersey City, NJ 07302-4238 | 2020-08-16 |
1760007256 | Strongholistics, LLC | Physical Therapist | 105 Grove St Ste 14, Montclair, NJ 07042-4053 | 2020-06-10 |
1255951877 | Physiopros Physical Therapy & Wellness | Physical Therapist | 49 Overlook Rd, Morristown, NJ 07960-5805 | 2020-04-23 |
1730715038 | Sabrina Casares | Physical Therapist | 770 Lighthouse Dr Unit 170, Barnegat, NJ 08005-2373 | 2020-03-18 |
1750912820 | Brianna Carri, Pt, Dpt LLC | Physical Therapist | 32 Deanna Dr Apt 66, Hillsborough, NJ 08844-4851 | 2020-01-28 |
1265071187 | Ashley Mak Performance and Rehabilitation, PC | Physical Therapist | 1320 Adams St Ste B, Hoboken, NJ 07030-2370 | 2019-12-23 |
1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
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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.