Healthcare Provider Details

I. General information

NPI: 1881650224
Provider Name (Legal Business Name): HOPEWELL PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 DENOW RD SUITE U
PENNINGTON NJ
08534-5246
US

IV. Provider business mailing address

800 DENOW RD SUITE U
PENNINGTON NJ
08534-5246
US

V. Phone/Fax

Practice location:
  • Phone: 609-737-8130
  • Fax: 609-737-8131
Mailing address:
  • Phone: 609-737-8130
  • Fax: 609-737-8131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number40QA00170000
License Number StateNJ

VIII. Authorized Official

Name: MR. THOMAS DAVID BARTOLINO
Title or Position: OWNER/PRESIDENT
Credential: MMSC, PT, OCS
Phone: 609-737-8130