NPI 1508687120 · live from the CMS NPI Registry
Niasia Boone
Physical Therapist in Hamilton Township, NJ. National Provider Identifier 1508687120, active.
NPI record
| NPI | 1508687120 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1249 Nj-33, Suite 10, Hamilton Township, NJ 08690 |
| Practice phone | 609-964-7477 |
| Mailing address | 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515 |
| Enumerated | October 17, 2024 |
| Last updated | October 1, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 40QA02295200 (NJ) |
| Physical Therapist | 225100000X | 40QA02295200 |
| Physical Therapist primary | 225100000X | CP043855T (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.