Active NPIIndividual provider

Mr. Joseph B Mcdivitt, MPT

Physical Therapist in Deptford, New Jersey

NPI Number1063588770
Practice location
1652 Cooper Street, Deptford, NJ 08096
Fax
856-227-5716
Last updated
July 8, 2007

Joseph Benjamin Mcdivitt is a Physical Therapist based in Deptford, NJ. Joseph Benjamin Mcdivitt practices in Deptford, NJ and has the professional credentials of MPT. The NPI Number for Joseph Benjamin Mcdivitt is 1063588770 and holds a License No. 40QA00558000 (NJ). The current practice location address for Joseph Benjamin Mcdivitt is 1652 Cooper Street, Deptford, NJ 08096 and can be reached out via phone at 856-227-5312 and via fax at 856-227-5716.

Provider Profile Details

NPI Number
1063588770
Provider Name
Joseph Benjamin Mcdivitt
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
1652 Cooper Street, Deptford, NJ 08096
Phone Number
856-227-5312
Fax Number
856-227-5716
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1652 Cooper Street
Deptford, NJ 08096
Zip
08096
Phone Number
856-227-5312
Fax Number
856-227-5716
Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
207 Chippewa Trail
Medford Lakes, NJ 08055
City
Medford Lakes
State
NJ
Zip
08055
Phone Number
609-714-8594
Fax Number
856-227-5716

License Information

License Number (1)
40QA00558000
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
PT007512L
License State (2)
PA
Taxonomy (2)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Joseph B Mcdivitt, MPT?

The NPI number of Mr. Joseph B Mcdivitt, MPT is 1063588770. It was assigned on November 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Joseph B Mcdivitt, MPT?

Mr. Joseph B Mcdivitt, MPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00558000.

Where does Mr. Joseph B Mcdivitt, MPT practice?

The practice location is 1652 Cooper Street, Deptford, NJ 08096. The office can be reached at 856-227-5312 (phone) or 856-227-5716 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063588770 directly on the NPPES registry website.

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