Provider Demographics
NPI:1881650224
Name:HOPEWELL PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:HOPEWELL PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BARTOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MMSC, PT, OCS
Authorized Official - Phone:609-737-8130
Mailing Address - Street 1:800 DENOW RD
Mailing Address - Street 2:SUITE U
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5246
Mailing Address - Country:US
Mailing Address - Phone:609-737-8130
Mailing Address - Fax:609-737-8131
Practice Address - Street 1:800 DENOW RD
Practice Address - Street 2:SUITE U
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5246
Practice Address - Country:US
Practice Address - Phone:609-737-8130
Practice Address - Fax:609-737-8131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA001700002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE3961OtherRAILROAD MEDICARE
NJ125158OtherAETNA USHC
NJMES044OtherOXFORD HEALTH PLANS
NJMES044OtherOXFORD HEALTH PLANS
NJ125158OtherAETNA USHC