| Recover Physical Therapy | |
|
1501 Old Black Horse Pike Apt F9 Blackwood NJ 08012-4927 | |
| (910) 658-3299 | |
| (856) 373-5040 |
| Full Name | Recover Physical Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 Old Black Horse Pike Apt F9, Blackwood, New Jersey |
| Authorized Official Name and Position | William Michael Ogletree (OWNER) |
| Authorized Official Contact | 9106583299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recover Physical Therapy 1501 Old Black Horse Pike Apt F9 Blackwood NJ 08012-4927 Ph: (910) 658-3299 | Recover Physical Therapy 1501 Old Black Horse Pike Apt F9 Blackwood NJ 08012-4927 Ph: (910) 658-3299 |
| NPI Number | 1194354407 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/26/2020 |
| Medicare PECOS PAC ID | 6507288545 |
|---|---|
| Medicare Enrollment ID | O20201125000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194354407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Deborah Wehner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285925149 PECOS PAC ID: 7911337530 Enrollment ID: I20200423000314 |
| Provider Name | Nicole Ogletree |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801356241 PECOS PAC ID: 8921341397 Enrollment ID: I20201202001270 |
| Provider Name | Maria Petrongolo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700469707 PECOS PAC ID: 4880093061 Enrollment ID: I20210519002407 |
| Provider Name | Nicole Ditroia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083378129 PECOS PAC ID: 9032508833 Enrollment ID: I20211117000923 |
| Provider Name | Emily a Koop |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992464358 PECOS PAC ID: 4981095288 Enrollment ID: I20211221001648 |
| Provider Name | Sara Melnyk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164260790 PECOS PAC ID: 7012457526 Enrollment ID: I20240911002324 |
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