| Restore Physical Therapy, Llc | |
|
230 N Maple Ave, Suite G-10, Marlton, NJ 08053-9400 | |
| (856) 396-2500 | |
| (856) 396-2525 |
| Full Name | Restore Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 230 N Maple Ave, Marlton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174531842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00485800 (New Jersey) | Primary |
| 225100000X | Physical Therapist | 40QA00486300 (New Jersey) | Secondary |
| Provider Name | Troy J Hofmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568429546 PECOS PAC ID: 7719939768 Enrollment ID: I20050217000561 |
| Provider Name | David B Huttinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700846748 PECOS PAC ID: 3678580768 Enrollment ID: I20060315000021 |
| Provider Name | Reed James Hofmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316595044 PECOS PAC ID: 3072845361 Enrollment ID: I20191106002031 |
| Provider Name | Brooke Nolan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154045441 PECOS PAC ID: 7719355411 Enrollment ID: I20221201000313 |
| Provider Name | Kyle S Mcintyre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407530017 PECOS PAC ID: 9133580012 Enrollment ID: I20230726000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Physical Therapy, Llc 230 N Maple Ave, Suite G-10, Marlton, NJ 08053-9400 Ph: (856) 396-2500 | Restore Physical Therapy, Llc 230 N Maple Ave, Suite G-10, Marlton, NJ 08053-9400 Ph: (856) 396-2500 |
Mrs. Deana Marie Ercolani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-8778 | |
Dr. Elaine Sung, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 Weaver Drive, Marlton, NJ 08053 Phone: 310-880-6078 | |
Lezlie Schwartz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3001 Lincoln Dr W, Suite I, Marlton, NJ 08053 Phone: 856-396-3173 Fax: 856-396-0063 | |
Dr. Rocco Harry Gervasi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Horseshoe Lane, Marlton, NJ 08053 Phone: 609-462-2519 | |
Mrs. Irma Tetruashvily, DPT,GCS,SCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Normandy Rd, Marlton, NJ 08053 Phone: 856-552-0449 Fax: 856-552-0187 | |
Dr. Korey Frederick Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 999 Route 73 N, Marlton, NJ 08053 Phone: 856-821-6366 | |
Grace Coleman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-8778 |