Active Wellness
Clinic/Center (Physical Therapy)

Address: 6 Coventry Ct, Cherry Hill, NJ 08002-1519
Phone: 6097072856

Active Wellness (NPI# 1528660206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1528660206
Entity Type Organization
Organization Name ACTIVE WELLNESS
Practice Address 6 Coventry Ct
Cherry Hill
NJ 08002-1519
Practice Telephone 6097072856
Mailing Address 6 Coventry Ct
Cherry Hill
NJ 08002-1519
Mailing Telephone 6097072856
Authorized Official Name Mrs. Nicole Cannon (PHYSICAL THERAPIST/OWNER)
Authorized Official Telephone 6097072856
Authorized Official Credential PT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-09
Last Update Date 2020-11-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2000X Clinic/Center · Physical Therapy Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1891330619 Prime Movement Physical Therapy Clinic/Center 1833 Marlton Pike E, Cherry Hill, NJ 08003-2013 2019-11-15
1235594979 Nematullah Vasowala Clinic/Center 1 S Woodleigh Dr, Cherry Hill, NJ 08003-3145 2015-12-23
1346446176 Apple Physical Therapy, LLC Clinic/Center 16 Rockhill Rd, Cherry Hill, NJ 08003-2308 2007-06-27
1942206065 Rehabclinics Spt Inc Clinic/Center 1765 Springdale Rd, Bldg A, Cherry Hill, NJ 08003-2177 2005-06-23
1518368604 Angela Stefanoni Clinic/Center 1998 Route 70 E, Cherry Hill, NJ 08003-1834 2014-09-09
1003118886 Amelia Nelson Bs Pt LLC Clinic/Center 1869 Greentree Rd, Cherry Hill, NJ 08003-2009 2010-11-29
1437305513 Orthopedic & Sports Physical Therapy Services Inc. Clinic/Center 1820 Old Cuthbert Rd, Cherry Hill, NJ 08034-1414 2008-08-08
1508988874 Healing Partnerships Physical Therapy Clinic/Center 1930 Marlton Pike E, Suite E-27, Cherry Hill, NJ 08003-2150 2007-04-06
1932262532 J De Heer LLC Clinic/Center 125 Burnt Mill Rd, Cherry Hill, NJ 08003-3903 2006-12-18
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Office Location

Street Address 6 COVENTRY CT
City CHERRY HILL
State NJ
Zip Code 08002-1519

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NPI Name Taxonomy Address Enumeration
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1104483825 Advocare, LLC Specialist 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 2019-05-29
1881155299 Tyesha Thomas Counselor 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 2019-03-28
1982184479 Brian Keith Smalls Jr. Early Intervention Provider Agency 1701 Bishop View Circle, Cherry Hill, NJ 08002 2018-08-15
1124510094 Salvatore Montana Messina Student in an Organized Health Care Education/Training Program 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 2018-06-05
1871010397 Jocelyn Lea Daigle Counselor 2201 Chapel Avenue W, Cherry Hill, NJ 08002 2017-08-25
1225559495 Kennedy Medical Group Practice P.C. Dietitian, Registered 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 2017-06-28
1245750926 Casey Rich Behavior Analyst 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 2017-06-22
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Competitor

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City CHERRY HILL
Zip Code 08002

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Dataset Information

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.