VICTORY PHYSICAL THERAPY PC (NPI# 1942309604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942309604 |
| Entity Type | Organization |
| Organization Name | VICTORY PHYSICAL THERAPY PC |
| Practice Address |
108 Swedesboro Rd Suite 10 Mullica Hill NJ 08062-1800 |
| Practice Telephone | 8562238898 |
| Practice Fax Number | 8562238799 |
| Mailing Telephone | 8562238898 |
| Mailing Fax Number | 8562238799 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL A WALTERS (OWNER) |
| Authorized Official Telephone | 8562238898 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
QA005763 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PERSONAL CHOICE | 0332711000 | 01 |
| NJ | AETNA | 2139173 | 01 |
| NJ | AMERIHEALTH | 0332711000 | 01 |
| Street Address |
108 SWEDESBORO RD SUITE 10 |
| City | MULLICA HILL |
| State | NJ |
| Zip Code | 08062-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669416061 | Michelle Danielle Campbell | Hearing Instrument Specialist | 108 Swedesboro Rd, Mullica Hill, NJ 08062-1800 | 2006-06-15 |
| 1497209878 | Kelby Hitchner | Physical Therapist | 108 Swedesboro Rd, Suite 10, Mullica Hill, NJ 08062-1800 | 2016-08-15 |
| 1962864835 | Tru Clarity Hearing Care | Hearing Aid Equipment | 108 Swedesboro Rd, Suite 14, Mullica Hill, NJ 08062-1800 | 2016-03-22 |
| 1205110046 | Tiffany Mascio | Pharmacist | 108 Swedesboro Rd, Mullica Hill, NJ 08062-1800 | 2011-09-28 |
| 1528387073 | Stephanie Dee Long | Physical Therapist | 108 Swedesboro Rd, Suite 10, Mullica Hill, NJ 08062-1800 | 2010-05-24 |
| 1770815409 | Maria D Martorano | Physical Therapist | 108 Swedesboro Rd, Suite 10, Mullica Hill, NJ 08062-1800 | 2010-02-05 |
| 1760506562 | Susan Zintner-galloway | Pharmacist | 108 Swedesboro Rd, Suite 20, Mullica Hill, NJ 08062-1800 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881254308 | Kaplan & Tyson, LLC Dba Eye Associates | Durable Medical Equipment & Medical Supplies | 5 Myers Drive, Suite 101, Mullica Hill, NJ 08062 | 2019-06-17 |
| 1588165526 | Mullica Hill Family Dental, LLC | Dentist | 7 Myers Drive Unit A, Mullica Hill, NJ 08062 | 2018-02-26 |
| 1639689102 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Iredell Lane, Mullica Hill, NJ 08062 | 2017-10-10 |
| 1639697782 | Kingsway Recovery LLC | Counselor | 124 Bridgeton Pike, Mullica Hill, NJ 08062 | 2017-09-08 |
| 1568998912 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 484 Fislerville Rd (richwood), Mullica Hill, NJ 08062 | 2017-05-04 |
| 1114381399 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 444 Fislerville Rd, South Harrison Twp, NJ 08062 | 2016-04-13 |
| 1053687574 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 524 Mullica Hill Rd, Harrison Township, NJ 08062 | 2012-03-29 |
| 1134491590 | South Jersey Healthcare | Clinic/Center | 210 Tomlin Station Road, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1144592502 | South Jersey Healthcare | Clinic/Center | 201 Tomlin Station Park Suite D, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1760764898 | Inspira Medical Centers, Inc. | Clinic/Center | 201 Tomlin Station Road, Suite A, Mullica Hill, NJ 08062 | 2011-09-14 |
| Find all providers in zip 08062 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134491590 | South Jersey Healthcare | Clinic/Center | 210 Tomlin Station Road, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1144592502 | South Jersey Healthcare | Clinic/Center | 201 Tomlin Station Park Suite D, Mullica Hill, NJ 08062 | 2012-02-01 |
| 1174895528 | Debbie Marie Franceschini | Clinic/Center | 201 Tomlin Station Park Suite D, Mullica Hill, NJ 08062-6927 | 2012-02-01 |
| 1598037954 | South Jersey Healthcare | Clinic/Center | 201 Tomlin Station Road, Suite D, Mullica Hill, NJ 08062-1612 | 2012-02-01 |
| 1609158732 | South Jersey Hospital, Inc. | Clinic/Center | 201 Tomlin Station Road, Suite D, Mullica Hill, NJ 08062 | 2011-09-14 |
| 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 | ||||
| City | MULLICA HILL |
| Zip Code | 08062 |
Please comment or provide details below to improve the information on VICTORY PHYSICAL THERAPY PC.
| 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.