| Jeremy James Sullivan, MPT | |
|
801 Kings Hwy N, Fox Rehabilitation Services, Cherry Hill, NJ 08034-1513 | |
| (877) 407-3422 | |
| (877) 407-4329 |
| Full Name | Jeremy James Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 801 Kings Hwy N, Cherry Hill, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528197985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01081700 (New Jersey) | Primary |
| Provider Name | Fox Rehabilitation Services Wi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy James Sullivan, MPT 1718 S Broadway, Camden, NJ 08104-1306 Ph: (877) 407-3422 | Jeremy James Sullivan, MPT 801 Kings Hwy N, Fox Rehabilitation Services, Cherry Hill, NJ 08034-1513 Ph: (877) 407-3422 |
Mrs. Terri Rice, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1399 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-663-4607 | |
Regina A Derikito, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 866-210-1111 | |
Noelle Pickett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Avia Marder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Janica Marie Nuestro, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mr. Michael Marino, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Lori Ann Zielinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Kings Hwy N, Fox Rehabilitation Services, Cherry Hill, NJ 08034 Phone: 877-407-3422 Fax: 877-407-4329 |