| Sportsmed Pt Llc | |
|
266 Harristown Rd Ste 200, Glen Rock, NJ 07452-3354 | |
| (201) 445-7000 | |
| Not Available |
| Full Name | Sportsmed Pt Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 266 Harristown Rd Ste 200, Glen Rock, 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 |
|---|---|---|---|
| 1841787645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Aaron Levine |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720297138 PECOS PAC ID: 1254233315 Enrollment ID: I20040121000440 |
| Provider Name | Peter Ponzini |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588786305 PECOS PAC ID: 7517957368 Enrollment ID: I20040514000253 |
| Provider Name | Janice Joohee Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396813507 PECOS PAC ID: 3779556766 Enrollment ID: I20040817001367 |
| Provider Name | Albert E Khalaf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821115965 PECOS PAC ID: 6608845532 Enrollment ID: I20040928000848 |
| Provider Name | Eric R Brummer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326072570 PECOS PAC ID: 8224090642 Enrollment ID: I20041028000675 |
| Provider Name | Stephen W Morse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740243120 PECOS PAC ID: 8224095377 Enrollment ID: I20050204000185 |
| Provider Name | Robert Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669475984 PECOS PAC ID: 3476590316 Enrollment ID: I20050413000062 |
| Provider Name | Aldou M Cinco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699850123 PECOS PAC ID: 9133161151 Enrollment ID: I20050531000593 |
| Provider Name | Allyn A Sison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659466241 PECOS PAC ID: 3779526405 Enrollment ID: I20050603000647 |
| Provider Name | George Papaleonardos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629190855 PECOS PAC ID: 1658304308 Enrollment ID: I20050914000394 |
| Provider Name | Raysa J Echeverria |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245390517 PECOS PAC ID: 6901823228 Enrollment ID: I20051026000808 |
| Provider Name | Stephen M Totin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912933060 PECOS PAC ID: 0840208781 Enrollment ID: I20060404000181 |
| Provider Name | Herminio M Solon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245275999 PECOS PAC ID: 8628080082 Enrollment ID: I20060629000189 |
| Provider Name | Jesusa R Ramos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164582060 PECOS PAC ID: 1658371612 Enrollment ID: I20061222000231 |
| Provider Name | Randi Blitz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700902541 PECOS PAC ID: 9830188549 Enrollment ID: I20070806000207 |
| Provider Name | James M Redondo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598957623 PECOS PAC ID: 3678669843 Enrollment ID: I20071219000030 |
| Provider Name | Luis R Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679720288 PECOS PAC ID: 1254492242 Enrollment ID: I20081209000681 |
| Provider Name | Dharrian J De Castro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902053564 PECOS PAC ID: 1254494636 Enrollment ID: I20090112000233 |
| Provider Name | Keith A English |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447311204 PECOS PAC ID: 4183787591 Enrollment ID: I20090112000591 |
| Provider Name | Joseph Skaff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992904312 PECOS PAC ID: 0143374959 Enrollment ID: I20090813000258 |
| Provider Name | Faisal Hussain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518979343 PECOS PAC ID: 2668519927 Enrollment ID: I20091020000278 |
| Provider Name | Edilene F Panlilio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093944126 PECOS PAC ID: 0648318170 Enrollment ID: I20091103000582 |
| Provider Name | Jo Ann T Marquez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730303512 PECOS PAC ID: 6204975774 Enrollment ID: I20091124000043 |
| Provider Name | Florentino P Ferrer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053445338 PECOS PAC ID: 9436280682 Enrollment ID: I20100701000587 |
| Provider Name | Michael G Eosso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265754626 PECOS PAC ID: 2365576337 Enrollment ID: I20100812000300 |
| Provider Name | Robert N Incitti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881762698 PECOS PAC ID: 9133258700 Enrollment ID: I20101201000740 |
| Provider Name | Gina M Giancola |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316128572 PECOS PAC ID: 9436347796 Enrollment ID: I20101230000739 |
| Provider Name | Editha Victoria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598903841 PECOS PAC ID: 0244410413 Enrollment ID: I20110204000178 |
| Provider Name | Suja K Jose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477852358 PECOS PAC ID: 0648479188 Enrollment ID: I20110324000269 |
| Provider Name | Sharon Dela Cerna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366643520 PECOS PAC ID: 4385822444 Enrollment ID: I20110621000562 |
| Provider Name | Janice De Guzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457509929 PECOS PAC ID: 0749459931 Enrollment ID: I20110804000097 |
| Provider Name | Michelle A Mcellen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225182660 PECOS PAC ID: 6406013374 Enrollment ID: I20120203000446 |
| Provider Name | Patricia Signorello |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043403876 PECOS PAC ID: 0446412464 Enrollment ID: I20120508000445 |
| Provider Name | Joshua L Costagliola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063701845 PECOS PAC ID: 7113195504 Enrollment ID: I20120618000331 |
| Provider Name | Oleg Profis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972887339 PECOS PAC ID: 8325202435 Enrollment ID: I20120620000635 |
| Provider Name | Paul Anthony Calinog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750646626 PECOS PAC ID: 0941457196 Enrollment ID: I20120823000567 |
| Provider Name | Eric A Oliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205158748 PECOS PAC ID: 9436323649 Enrollment ID: I20120904000643 |
| Provider Name | Nisha Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154671881 PECOS PAC ID: 4688826464 Enrollment ID: I20121129000469 |
| Provider Name | Jerold H Kaminsky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760569594 PECOS PAC ID: 5193730448 Enrollment ID: I20130313000371 |
| Provider Name | Marta Profis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457611493 PECOS PAC ID: 0143466599 Enrollment ID: I20130410000066 |
| Provider Name | Criselda C Pineda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023386869 PECOS PAC ID: 8426217860 Enrollment ID: I20130611000442 |
| Provider Name | Cielo S Mojica |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427337567 PECOS PAC ID: 6002042876 Enrollment ID: I20131127000078 |
| Provider Name | Brendan J Kirk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285067470 PECOS PAC ID: 5496983025 Enrollment ID: I20140106000476 |
| Provider Name | Dalton S Gilligan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205261500 PECOS PAC ID: 8022246842 Enrollment ID: I20140124000158 |
| Provider Name | John Kohutanycz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942621933 PECOS PAC ID: 9436380425 Enrollment ID: I20140314000291 |
| Provider Name | Myla Y Belmonte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184905085 PECOS PAC ID: 2769614726 Enrollment ID: I20140605001237 |
| Provider Name | Jaeyda P Hunter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952653602 PECOS PAC ID: 9739498619 Enrollment ID: I20151015000658 |
| Provider Name | Kathleen S Bonsall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811220445 PECOS PAC ID: 9234436700 Enrollment ID: I20160328002326 |
| Provider Name | Jossana Ghobryal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437536828 PECOS PAC ID: 7315244498 Enrollment ID: I20160405001367 |
| Provider Name | Boskey Biharilal Parikh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316215403 PECOS PAC ID: 1254507692 Enrollment ID: I20160824002458 |
| Provider Name | Emmanuel Marie Renaudo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477893030 PECOS PAC ID: 3274828231 Enrollment ID: I20160912002543 |
| Provider Name | Michael P Weidman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619422672 PECOS PAC ID: 8123316296 Enrollment ID: I20161006000047 |
| Provider Name | Patrice Soto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710437736 PECOS PAC ID: 0446539258 Enrollment ID: I20161118001905 |
| Provider Name | Mary Rachel P Lozada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144778606 PECOS PAC ID: 0840579538 Enrollment ID: I20161121001988 |
| Provider Name | Benjamin Gertzog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730631433 PECOS PAC ID: 9436439338 Enrollment ID: I20161212001704 |
| Provider Name | Parshav A Desai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093264939 PECOS PAC ID: 7810273174 Enrollment ID: I20170421000365 |
| Provider Name | Jasmine Dowd |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568612232 PECOS PAC ID: 6507142452 Enrollment ID: I20170427000472 |
| Provider Name | David Paul Raj Shanmugam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659792331 PECOS PAC ID: 4284905266 Enrollment ID: I20170809003036 |
| Provider Name | Marcelo Castro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942728753 PECOS PAC ID: 7113292863 Enrollment ID: I20171005000273 |
| Provider Name | Clifford Bachiman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841715026 PECOS PAC ID: 7214203736 Enrollment ID: I20171026003273 |
| Provider Name | Tony Li |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457691198 PECOS PAC ID: 7416198312 Enrollment ID: I20171129000062 |
| Provider Name | Adam Hamdan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093104960 PECOS PAC ID: 4587923909 Enrollment ID: I20180110002455 |
| Provider Name | Scott L Cavagnuolo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508069733 PECOS PAC ID: 3678558616 Enrollment ID: I20180213002358 |
| Provider Name | Lisa Marie Pinkston |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295169845 PECOS PAC ID: 2365736907 Enrollment ID: I20180228001281 |
| Provider Name | Allan F Santoalla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629347562 PECOS PAC ID: 3173884210 Enrollment ID: I20180306000541 |
| Provider Name | Olha Hrechynsky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003317058 PECOS PAC ID: 9830451301 Enrollment ID: I20180321000507 |
| Provider Name | Joan Ellazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518109065 PECOS PAC ID: 3779770631 Enrollment ID: I20180322000105 |
| Provider Name | Maura Tomassoni |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851775423 PECOS PAC ID: 9830452812 Enrollment ID: I20180405000825 |
| Provider Name | Trung Le |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003325697 PECOS PAC ID: 7416211313 Enrollment ID: I20180501000165 |
| Provider Name | Allan V. Isip |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437651809 PECOS PAC ID: 9032464201 Enrollment ID: I20180613000146 |
| Provider Name | Luther C Delera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528591799 PECOS PAC ID: 4082969548 Enrollment ID: I20180625001718 |
| Provider Name | Diamantis Kyriakakis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659865210 PECOS PAC ID: 4688920648 Enrollment ID: I20180705000130 |
| Provider Name | Jazmin Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568949592 PECOS PAC ID: 0446500557 Enrollment ID: I20180912000187 |
| Provider Name | Sweta Suryakant Christian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831494491 PECOS PAC ID: 6406039072 Enrollment ID: I20180917000300 |
| Provider Name | Shawna Poltricitsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598246118 PECOS PAC ID: 7214288802 Enrollment ID: I20180920001740 |
| Provider Name | Ashley Dole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114408259 PECOS PAC ID: 3274884432 Enrollment ID: I20180927000032 |
| Provider Name | Natalie Noelle Caneda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700353257 PECOS PAC ID: 6709120728 Enrollment ID: I20181203001462 |
| Provider Name | Sheena M Threm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619457587 PECOS PAC ID: 6204170061 Enrollment ID: I20181205000615 |
| Provider Name | Tiffani Mathikolonis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568941417 PECOS PAC ID: 1759625528 Enrollment ID: I20181205001095 |
| Provider Name | Nart Tsay |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346309754 PECOS PAC ID: 8325383391 Enrollment ID: I20181219001297 |
| Provider Name | Mohamed El-sayed |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982173902 PECOS PAC ID: 2860738853 Enrollment ID: I20190111002363 |
| Provider Name | Hardikkumar Unjia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205375870 PECOS PAC ID: 9436434636 Enrollment ID: I20190114001043 |
| Provider Name | Gian Carlo O De Lara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316463854 PECOS PAC ID: 3476891920 Enrollment ID: I20190208001411 |
| Provider Name | Khyati Vijay Bhayani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407385081 PECOS PAC ID: 7113290420 Enrollment ID: I20190221000004 |
| Provider Name | Charles K Nesheiwat |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134690787 PECOS PAC ID: 9830438134 Enrollment ID: I20190305000073 |
| Provider Name | Andrew V Gurovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457822579 PECOS PAC ID: 0749521532 Enrollment ID: I20190404000071 |
| Provider Name | Alyssa Gabrielle Weinstein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679071831 PECOS PAC ID: 6002159878 Enrollment ID: I20190517001041 |
| Provider Name | Sunita Dhumal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215458716 PECOS PAC ID: 7315272952 Enrollment ID: I20190718001221 |
| Provider Name | Mayuri A Panchal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629638234 PECOS PAC ID: 8325374945 Enrollment ID: I20190719001012 |
| Provider Name | Ryan Hollis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881256709 PECOS PAC ID: 8527396548 Enrollment ID: I20190828002114 |
| Provider Name | Richard Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750931770 PECOS PAC ID: 8527399401 Enrollment ID: I20191007002805 |
| Provider Name | Kevin M Bauman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477101368 PECOS PAC ID: 6608107594 Enrollment ID: I20191007003425 |
| Provider Name | Stephanie N Whittaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548810856 PECOS PAC ID: 2264763655 Enrollment ID: I20191016002417 |
| Provider Name | Rebecca Lieberman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336607654 PECOS PAC ID: 8325374325 Enrollment ID: I20191022001266 |
| Provider Name | Kathryn L Wilkinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841840816 PECOS PAC ID: 0042642738 Enrollment ID: I20191119000483 |
| Provider Name | Amrit J Jhauj |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508408493 PECOS PAC ID: 5294168597 Enrollment ID: I20191127000152 |
| Provider Name | Damier G Browne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356770788 PECOS PAC ID: 3577996107 Enrollment ID: I20191212000008 |
| Provider Name | Payal Sandeep Pawar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326583931 PECOS PAC ID: 1658654561 Enrollment ID: I20191218000475 |
| Provider Name | Gianna Paladino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093351082 PECOS PAC ID: 3072947928 Enrollment ID: I20191231000085 |
| Provider Name | Peranandan Jayapalan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952739377 PECOS PAC ID: 9032545124 Enrollment ID: I20200210000606 |
| Provider Name | Simran Anil Lund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710479779 PECOS PAC ID: 7517211709 Enrollment ID: I20200316000019 |
| Provider Name | Giselle Savoia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689108318 PECOS PAC ID: 2668800038 Enrollment ID: I20200318000575 |
| Provider Name | Vandana Singh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801212287 PECOS PAC ID: 1850524554 Enrollment ID: I20200521000059 |
| Provider Name | Yamika Patel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518502657 PECOS PAC ID: 8820422538 Enrollment ID: I20200722000035 |
| Provider Name | Christopher W Ernst |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558902486 PECOS PAC ID: 8820412794 Enrollment ID: I20200723001948 |
| Provider Name | Rebecca J Larris |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679194195 PECOS PAC ID: 8628494010 Enrollment ID: I20200817000588 |
| Provider Name | Fanny Wong |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275151839 PECOS PAC ID: 8628495215 Enrollment ID: I20200827001564 |
| Provider Name | Emily Rose Lasinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386255990 PECOS PAC ID: 2769800655 Enrollment ID: I20200909001189 |
| Provider Name | Jay Tan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699179432 PECOS PAC ID: 2264750918 Enrollment ID: I20200914000091 |
| Provider Name | Brett Ploshnick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720692387 PECOS PAC ID: 7911326046 Enrollment ID: I20200923001323 |
| Provider Name | Niti K Patel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548892599 PECOS PAC ID: 7618387531 Enrollment ID: I20201104002783 |
| Provider Name | Beshowy Wanis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245881853 PECOS PAC ID: 6507277993 Enrollment ID: I20201116000293 |
| Provider Name | Dilnaz H Nalladaru |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326162355 PECOS PAC ID: 4284701178 Enrollment ID: I20201118002832 |
| Provider Name | Julia Cho |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447855416 PECOS PAC ID: 0749692507 Enrollment ID: I20201218002358 |
| Provider Name | Prita Mihirbhai Patel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083216113 PECOS PAC ID: 8325451701 Enrollment ID: I20201231001360 |
| Provider Name | Zachary Katzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194312348 PECOS PAC ID: 9133532187 Enrollment ID: I20210112000553 |
| Provider Name | Oscar M Mujica |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568050599 PECOS PAC ID: 4587078019 Enrollment ID: I20210125002029 |
| Provider Name | Evan Walter Grunder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467043646 PECOS PAC ID: 1951716638 Enrollment ID: I20210210000260 |
| Provider Name | Seema Singh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215576129 PECOS PAC ID: 4082020334 Enrollment ID: I20210310002575 |
| Provider Name | Rohit Farzala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811352768 PECOS PAC ID: 2365879186 Enrollment ID: I20210316003053 |
| Provider Name | Jared Debenedictus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629443650 PECOS PAC ID: 7012219561 Enrollment ID: I20210413000975 |
| Provider Name | Shikha Sharma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770953952 PECOS PAC ID: 6305254293 Enrollment ID: I20210413003046 |
| Provider Name | Jooyoung Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497359467 PECOS PAC ID: 2163831314 Enrollment ID: I20210429001987 |
| Provider Name | Christopher G Albanese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134722341 PECOS PAC ID: 5294144325 Enrollment ID: I20210503000053 |
| Provider Name | Jamie Jean Ubaldo Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629092507 PECOS PAC ID: 5799184578 Enrollment ID: I20210527001294 |
| Provider Name | Paulina Reiban Khanna |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497320733 PECOS PAC ID: 9931508637 Enrollment ID: I20210601000396 |
| Provider Name | Loverna Abella Bero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023557394 PECOS PAC ID: 1759655145 Enrollment ID: I20210630002274 |
| Provider Name | Taejoon Han |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992383418 PECOS PAC ID: 1850792656 Enrollment ID: I20210630003660 |
| Provider Name | Salvador Gonzalez Ruiz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316546591 PECOS PAC ID: 7416359039 Enrollment ID: I20210706000858 |
| Provider Name | Sweta Singh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588215727 PECOS PAC ID: 7517298870 Enrollment ID: I20210714002750 |
| Provider Name | Jeffrey A Esteves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861062051 PECOS PAC ID: 8729481775 Enrollment ID: I20210728001387 |
| Provider Name | Alisa Meghani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316561673 PECOS PAC ID: 2466868260 Enrollment ID: I20210811003444 |
| Provider Name | Sweta Devarajan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255958377 PECOS PAC ID: 7012331556 Enrollment ID: I20210816000404 |
| Provider Name | Brett Michael London |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194148262 PECOS PAC ID: 8426453879 Enrollment ID: I20210823002110 |
| Provider Name | Ilana Tzur |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053992404 PECOS PAC ID: 9739597188 Enrollment ID: I20210824002836 |
| Provider Name | Rodney D Bravo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134897382 PECOS PAC ID: 6204232648 Enrollment ID: I20210909002170 |
| Provider Name | Bernadette Abinguna Gumiran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528734217 PECOS PAC ID: 0345646691 Enrollment ID: I20210910002968 |
| Provider Name | Jyoti Gupta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427409606 PECOS PAC ID: 5597161794 Enrollment ID: I20210914002355 |
| Provider Name | Brendan Raymond Bolduc |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811664899 PECOS PAC ID: 1759789522 Enrollment ID: I20211008000043 |
| Provider Name | Mary J Alvarado |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205903911 PECOS PAC ID: 2961484472 Enrollment ID: I20211213000305 |
| Provider Name | Dhara Vora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104582824 PECOS PAC ID: 0143610808 Enrollment ID: I20211213000541 |
| Provider Name | Brianna Nicole Capobianco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659928786 PECOS PAC ID: 9133459647 Enrollment ID: I20211216000537 |
| Provider Name | Sabri Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699433656 PECOS PAC ID: 1658762133 Enrollment ID: I20211216001082 |
| Provider Name | Stephen Richard Kalinoski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225796675 PECOS PAC ID: 9830580224 Enrollment ID: I20211220000041 |
| Provider Name | Richelle Colmenares |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427595909 PECOS PAC ID: 8022400712 Enrollment ID: I20220107001675 |
| Provider Name | Theodore Chinedu Emenuga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265017230 PECOS PAC ID: 4981096690 Enrollment ID: I20220108000144 |
| Provider Name | Monica Shanal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124520135 PECOS PAC ID: 9931434909 Enrollment ID: I20220118001153 |
| Provider Name | Cara M Cardillo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508458134 PECOS PAC ID: 3173915444 Enrollment ID: I20220118001626 |
| Provider Name | Rini Rafiq Amlani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891276275 PECOS PAC ID: 0840683678 Enrollment ID: I20220131001125 |
| Provider Name | Navdeep Uppal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386214203 PECOS PAC ID: 1759774011 Enrollment ID: I20220209000533 |
| Provider Name | Jacqueline Elena Schechtel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841777018 PECOS PAC ID: 4183018138 Enrollment ID: I20220308002010 |
| Provider Name | Ria Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881342244 PECOS PAC ID: 3476949330 Enrollment ID: I20220404000029 |
| Provider Name | Louis Daniel Longobardo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548918733 PECOS PAC ID: 5395131080 Enrollment ID: I20220405002990 |
| Provider Name | Joseph Moussa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821504424 PECOS PAC ID: 0446515308 Enrollment ID: I20220421002568 |
| Provider Name | So Y Kwon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588242788 PECOS PAC ID: 5890018154 Enrollment ID: I20220505001655 |
| Provider Name | Shriya M Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730793324 PECOS PAC ID: 2264810423 Enrollment ID: I20220601000917 |
| Provider Name | Priti P Shinde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912543984 PECOS PAC ID: 4880028661 Enrollment ID: I20220614000318 |
| Provider Name | Carlos Komlan Donou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902545015 PECOS PAC ID: 5193105583 Enrollment ID: I20220701000227 |
| Provider Name | Jaclyn Lui |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164678967 PECOS PAC ID: 2264813146 Enrollment ID: I20220725000379 |
| Provider Name | Saloni Trivedi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427521137 PECOS PAC ID: 7012256902 Enrollment ID: I20220728000155 |
| Provider Name | Drashti Pandya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114666989 PECOS PAC ID: 9032593835 Enrollment ID: I20220829000405 |
| Provider Name | Tyron R Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750017067 PECOS PAC ID: 0648654749 Enrollment ID: I20220908000566 |
| Provider Name | Allison Kelly |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205561404 PECOS PAC ID: 5294110250 Enrollment ID: I20220913000375 |
| Provider Name | Danielle Isenberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801414172 PECOS PAC ID: 4183041056 Enrollment ID: I20220921001443 |
| Provider Name | Dane Barone |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477275949 PECOS PAC ID: 9234515990 Enrollment ID: I20221003003064 |
| Provider Name | Poojaben Naik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982322350 PECOS PAC ID: 8426434135 Enrollment ID: I20221004002250 |
| Provider Name | Sarah Jean-charles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306568241 PECOS PAC ID: 7214313790 Enrollment ID: I20221006001961 |
| Provider Name | Virahi Parikh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245999424 PECOS PAC ID: 6608242821 Enrollment ID: I20221013000421 |
| Provider Name | Stephen Harrison Shein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588388748 PECOS PAC ID: 6103292230 Enrollment ID: I20221014001344 |
| Provider Name | Darya Dronov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730643859 PECOS PAC ID: 7012240211 Enrollment ID: I20221021001135 |
| Provider Name | Dipal Rana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184343899 PECOS PAC ID: 6800263567 Enrollment ID: I20221109001470 |
| Provider Name | Kelly Ariane Henriquez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871210807 PECOS PAC ID: 6608243316 Enrollment ID: I20221109003281 |
| Provider Name | Lakshman S Nekkanti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023785144 PECOS PAC ID: 9830567262 Enrollment ID: I20221116001226 |
| Provider Name | Melissa Merino Goni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639896046 PECOS PAC ID: 9931577848 Enrollment ID: I20221128001595 |
| Provider Name | Jude Pino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235854407 PECOS PAC ID: 9032587654 Enrollment ID: I20221201001440 |
| Provider Name | Richardine Gloria Castor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730539248 PECOS PAC ID: 0547639163 Enrollment ID: I20221202002354 |
| Provider Name | Marlisa Yalong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154030708 PECOS PAC ID: 6608245493 Enrollment ID: I20221219000803 |
| Provider Name | Rennes Toussaint |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710600853 PECOS PAC ID: 9234508946 Enrollment ID: I20221219002007 |
| Provider Name | Ryan Jinhyuk Choi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659000107 PECOS PAC ID: 4183094329 Enrollment ID: I20230103003041 |
| Provider Name | Wenbin Kuang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548893332 PECOS PAC ID: 7113331455 Enrollment ID: I20230315000337 |
| Provider Name | Kelsey Roon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851049639 PECOS PAC ID: 4385018001 Enrollment ID: I20230321001109 |
| Provider Name | Mahesh Patel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265145098 PECOS PAC ID: 1153795323 Enrollment ID: I20230330001041 |
| Provider Name | Giana Russo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619676327 PECOS PAC ID: 8921473331 Enrollment ID: I20230417000527 |
| Provider Name | Michael Desimone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023784303 PECOS PAC ID: 8426453499 Enrollment ID: I20230417002120 |
| Provider Name | Samantha S Martino |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326741265 PECOS PAC ID: 9830555200 Enrollment ID: I20230510002302 |
| Provider Name | William D Krembs |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245981299 PECOS PAC ID: 3779949946 Enrollment ID: I20230512000812 |
| Provider Name | Dakota Aric Wilcox |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003522038 PECOS PAC ID: 8820461361 Enrollment ID: I20230615000735 |
| Provider Name | Kristina Macrae |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760908602 PECOS PAC ID: 8224303169 Enrollment ID: I20230622000629 |
| Provider Name | Michael Schwarz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881379147 PECOS PAC ID: 0143680827 Enrollment ID: I20230712003964 |
| Provider Name | Melanie D'souza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952968943 PECOS PAC ID: 9739414129 Enrollment ID: I20230725000738 |
| Provider Name | Claudia Vargas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033791819 PECOS PAC ID: 9638530447 Enrollment ID: I20230726002116 |
| Provider Name | Karllo Pozo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649955188 PECOS PAC ID: 3173984333 Enrollment ID: I20230803002866 |
| Provider Name | Zair Rizvi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891494795 PECOS PAC ID: 4284097841 Enrollment ID: I20230829004236 |
| Provider Name | Ethan Samel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811770316 PECOS PAC ID: 8729442421 Enrollment ID: I20230914000066 |
| Provider Name | Dennis Liang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942922893 PECOS PAC ID: 2668826553 Enrollment ID: I20230926003314 |
| Provider Name | Brendan Christopher Rooney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316723463 PECOS PAC ID: 9234583071 Enrollment ID: I20230927001311 |
| Provider Name | Nicole Molyneaux |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760269310 PECOS PAC ID: 2365896859 Enrollment ID: I20231003001103 |
| Provider Name | Cameron Serpico |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992582142 PECOS PAC ID: 5799130167 Enrollment ID: I20231005001030 |
| Provider Name | Joshua David Ingersoll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841803749 PECOS PAC ID: 1951756469 Enrollment ID: I20231018000799 |
| Provider Name | Ashfaq Tirmizi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609052380 PECOS PAC ID: 8022489350 Enrollment ID: I20231101000708 |
| Provider Name | Vijayalakshmi Phanipriyamva Davuluri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730424037 PECOS PAC ID: 6406091172 Enrollment ID: I20231102004097 |
| Provider Name | Pooja Ghelani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376916353 PECOS PAC ID: 5698004406 Enrollment ID: I20231103002346 |
| Provider Name | Esaam Nabil Kamareddine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639647035 PECOS PAC ID: 2062757917 Enrollment ID: I20231103003455 |
| Provider Name | Ruhbaan Zubair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992451322 PECOS PAC ID: 4385038629 Enrollment ID: I20231104000252 |
| Provider Name | Dhanya Jayasree Raveendran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396488672 PECOS PAC ID: 3870940166 Enrollment ID: I20231108000661 |
| Provider Name | Brian T Ferraro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598401838 PECOS PAC ID: 5092194449 Enrollment ID: I20231115003827 |
| Provider Name | Barbara Emanuel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720867070 PECOS PAC ID: 0547618290 Enrollment ID: I20231120000546 |
| Provider Name | Nia Whyte |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184341406 PECOS PAC ID: 6608224092 Enrollment ID: I20231124000115 |
| Provider Name | Eunjung Choi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528598745 PECOS PAC ID: 1951648955 Enrollment ID: I20231222002568 |
| Provider Name | Caroline P Mccaffery |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831967033 PECOS PAC ID: 3971955097 Enrollment ID: I20240113000815 |
| Provider Name | Nicole Alexandra Eckert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215706403 PECOS PAC ID: 8820441884 Enrollment ID: I20240126000999 |
| Provider Name | Adam Rodriguez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023889219 PECOS PAC ID: 7113370024 Enrollment ID: I20240126003037 |
| Provider Name | Farhan Radhanpuri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598428831 PECOS PAC ID: 0749652709 Enrollment ID: I20240131003120 |
| Provider Name | Christian Wagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114798642 PECOS PAC ID: 5799138079 Enrollment ID: I20240202001547 |
| Provider Name | Gabrielle Morgan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467176891 PECOS PAC ID: 5597109132 Enrollment ID: I20240222000431 |
| Provider Name | Joel Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821851197 PECOS PAC ID: 1456796887 Enrollment ID: I20240226001649 |
| Provider Name | Joy Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003690066 PECOS PAC ID: 3870957954 Enrollment ID: I20240227003708 |
| Provider Name | Ariana Geiger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265297428 PECOS PAC ID: 4981040292 Enrollment ID: I20240308002778 |
| Provider Name | Rimoun K Hanna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932984416 PECOS PAC ID: 2365888054 Enrollment ID: I20240318000132 |
| Provider Name | Justin Philip Ferreira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487412698 PECOS PAC ID: 1557709029 Enrollment ID: I20240403000360 |
| Provider Name | Zeel Shaileshkumar Upadhyaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174181549 PECOS PAC ID: 5496082810 Enrollment ID: I20240403001526 |
| Provider Name | Jihwan Jeong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013629419 PECOS PAC ID: 5991175721 Enrollment ID: I20240423000066 |
| Provider Name | Shalmali Sanjay Surlakar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134738149 PECOS PAC ID: 8123468162 Enrollment ID: I20240424002987 |
| Provider Name | Jasmin D Lugo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124774674 PECOS PAC ID: 2567802754 Enrollment ID: I20240506000805 |
| Provider Name | Jahanvi Dhanani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467970673 PECOS PAC ID: 8224371745 Enrollment ID: I20240605001082 |
| Provider Name | Albin Paul |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053071258 PECOS PAC ID: 0648712521 Enrollment ID: I20240606002371 |
| Mailing Address | Practice Location Address |
|---|---|
| Sportsmed Pt Llc 266 Harristown Rd Ste 304, Glen Rock, NJ 07452-3321 Ph: () - | Sportsmed Pt Llc 266 Harristown Rd Ste 200, Glen Rock, NJ 07452-3354 Ph: (201) 445-7000 |
Loverna Abella Bero, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Harristown Rd Ste 304, Glen Rock, NJ 07452 Phone: 862-228-4636 | |
Dr. Scott Joseph Koningswood, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 251 Rock Rd Ste 2c, Glen Rock, NJ 07452 Phone: 201-445-0900 | |
Dr. Elise N. Brackett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 522 Broad Street, Glen Rock, NJ 07452 Phone: 201-444-9110 | |
Mr. Glenn David Prettitore, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 233 Rock Rd, #236, Glen Rock, NJ 07452 Phone: 201-345-7044 Fax: 201-345-7062 | |
Mrs. Eileen Kringle Mc Auley, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 522 Broad Street, Glen Rock, NJ 07452 Phone: 201-444-9110 Fax: 201-444-3365 | |
Karan Patel, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 208 Harristown Rd Ste Ll1, Glen Rock, NJ 07452 Phone: 201-613-2773 | |
Stephan Stasiuk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd Ste 200, Glen Rock, NJ 07452 Phone: 973-750-0880 |