Healthcare Provider Details

I. General information

NPI: 1063378552
Provider Name (Legal Business Name): ANCHORLINE PHYSICAL THERAPY & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 THOMAS AVE
RIVERTON NJ
08077-1447
US

IV. Provider business mailing address

604 THOMAS AVE
RIVERTON NJ
08077-1447
US

V. Phone/Fax

Practice location:
  • Phone: 856-465-7069
  • Fax:
Mailing address:
  • Phone: 856-465-7069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY RICHARD SALKOWSKI
Title or Position: OWNER
Credential: DPT
Phone: 856-465-7069