Matthew Fredrick (NPI# 1255800389, PAC ID# 2466797154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1255800389 |
| PAC ID by PECOS | 2466797154 |
| Professional Enrollment ID | I20181228000492 |
| Full Name | Matthew Fredrick |
| Organization Legal Name | RESTORE PHYSICAL THERAPY, LLC |
| Address |
230 N Maple Ave Suite B10 Marlton NJ 08053-9415 |
| Phone Number | 8563962500 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8820096860 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 | 8563962500 | RESTORE PHYSICAL THERAPY, LLC |
| Organization Legal Name | RESTORE PHYSICAL THERAPY, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Joseph Hawthorne | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Reed James Hofmann | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Troy J Hofmann | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| David B Huttinger | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Alexandra E Davis | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Anne Marie Di Benedetto | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Marlton, NJ 08053-9415 |
| Street Address |
230 N MAPLE AVE SUITE B10 |
| City | MARLTON |
| State | NJ |
| Zip | 08053-9415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen D Baumgardner | Chiropractic | Health Goals Chiropractic Center, Inc. | 230 N Maple Ave, Suite G2, Marlton, NJ 08053-9415 |
| Brian Joseph Hawthorne | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Alexandra Patricia Dilba | Chiropractic | Health Goals Chiropractic Center, Inc. | 230 N Maple Ave, Suite G2, Marlton, NJ 08053-9415 |
| Reed James Hofmann | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Troy J Hofmann | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| David B Huttinger | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Alexandra E Davis | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Suite B10, Marlton, NJ 08053-9415 |
| Angela Jarvis | Chiropractic | Health Goals Chiropractic Center, Inc. | 230 N Maple Ave, Marlton, NJ 08053-9415 |
| Anne Marie Di Benedetto | Physical Therapy | Restore Physical Therapy, LLC | 230 N Maple Ave, Marlton, NJ 08053-9415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dinaz Homi Italia | Registered Dietitian Or Nutrition Professional | 750 Route 73 S 309a, Marlton, NJ 08053 | |
| Latifah Dosunmu-oparison | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Christopher E Zupsic | Optometry | 928 Greentree Sq, Marlton, NJ 08053 | |
| Diane Goldblum-graff | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Khalid M Bajwa | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Denise Owen Fabricius | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Andrea Cochran | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Thomas J Campo | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Shayla J Edwards | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Ann Farrow | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Find all physicians in zip 08053 | |||
| City | MARLTON |
| Zip Code | 08053 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MARLTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.