| Activity First Physical Therapy And Sports Medicine | |
|
158 Wyckoff Rd, Eatontown, NJ 07724-1840 | |
| (732) 544-0007 | |
| (732) 544-0008 |
| Full Name | Activity First Physical Therapy And Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 158 Wyckoff Rd, Eatontown, 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 |
|---|---|---|---|
| 1124108782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00616100 (New Jersey) | Primary |
| Provider Name | Kevin Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225068158 PECOS PAC ID: 1557364049 Enrollment ID: I20060823000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Activity First Physical Therapy And Sports Medicine 158 Wyckoff Rd, Eatontown, NJ 07724-1840 Ph: (732) 544-0007 | Activity First Physical Therapy And Sports Medicine 158 Wyckoff Rd, Eatontown, NJ 07724-1840 Ph: (732) 544-0007 |
Anthony Joseph Iadisernia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 | |
Jessica Sara Jacko, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Industrial Way E, Eatontown, NJ 07724 Phone: 732-544-1557 | |
Patrick Baytan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 Fax: 732-876-4967 | |
Just 4 Kids Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30-40 Corbett Way, Eatontown, NJ 07724 Phone: 908-675-0128 | |
Dr. Jason A Peter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Ste 505, Eatontown, NJ 07724 Phone: 732-493-3100 | |
Mrs. Andrea Neyhart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Industrial Way East, Eatontown, NJ 07724 Phone: 732-544-1557 | |
Mrs. Mary W Baumer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Industrial Way W, Eatontown, NJ 07724 Phone: 732-542-2525 Fax: 732-542-2445 |