Healthcare Provider Details

I. General information

NPI: 1346261336
Provider Name (Legal Business Name): COMPLETE CARE MEDICAL & REHAB PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 STOKES RD SUITE 103
MEDFORD NJ
08055-3003
US

IV. Provider business mailing address

639 STOKES RD SUITE 103
MEDFORD NJ
08055-3003
US

V. Phone/Fax

Practice location:
  • Phone: 609-654-7020
  • Fax: 609-654-7140
Mailing address:
  • Phone: 609-654-7020
  • Fax: 609-654-7140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC05549
License Number StateNJ

VIII. Authorized Official

Name: DR. PHILIP J SCHEETS JR.
Title or Position: DIRECTOR PRESIDENT
Credential: DC
Phone: 609-654-7020