| Advance Home Physical Therapy Llc | |
|
9 Belair Dr, Fairfield, NJ 07004 | |
| (201) 390-4001 | |
| Not Available |
| Full Name | Advance Home Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 9 Belair Dr, Fairfield, 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 |
|---|---|---|---|
| 1285111864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01408100 (New Jersey) | Primary |
| Provider Name | Joseph A Banda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861772063 PECOS PAC ID: 5991976979 Enrollment ID: I20110923000063 |
| Provider Name | Tiffany M Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609135839 PECOS PAC ID: 3173774882 Enrollment ID: I20121106000223 |
| Provider Name | Kelly A Helm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992139844 PECOS PAC ID: 3476797184 Enrollment ID: I20130919000505 |
| Provider Name | Jaclyn Giangrande |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891211959 PECOS PAC ID: 8123393915 Enrollment ID: I20171004001696 |
| Provider Name | Nicolette Manoleas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841718343 PECOS PAC ID: 9739454984 Enrollment ID: I20171013002098 |
| Provider Name | Olivia L Giuliano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831702786 PECOS PAC ID: 3274951876 Enrollment ID: I20200914002808 |
| Provider Name | Jeremy Bongiovanni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467068809 PECOS PAC ID: 3375963465 Enrollment ID: I20201012000210 |
| Provider Name | Yamiley Lemoine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770125494 PECOS PAC ID: 4880008887 Enrollment ID: I20210203001107 |
| Provider Name | Joel John |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437818408 PECOS PAC ID: 5597157214 Enrollment ID: I20220110000463 |
| Provider Name | Dawn Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215668983 PECOS PAC ID: 0547641672 Enrollment ID: I20220720001334 |
| Provider Name | Denise Anne Diessner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073207296 PECOS PAC ID: 8022477124 Enrollment ID: I20230707001808 |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Home Physical Therapy Llc 9 Belair Dr, Fairfield, NJ 07004-1703 Ph: () - | Advance Home Physical Therapy Llc 9 Belair Dr, Fairfield, NJ 07004 Ph: (201) 390-4001 |
Mr. Kevin N Kopack, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Us Highway 46, Suite G106 - Fairfield Commons, Fairfield, NJ 07004 Phone: 973-276-1313 | |
Mrs. Rachel Secemski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 244 Route 46 E, Fairfield, NJ 07004 Phone: 862-702-3420 | |
Sara Wynne, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Law Dr, Fairfield, NJ 07004 Phone: 873-556-8465 | |
Mrs. Lisa Marie Krivis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 Route 46 E, Fairfield, NJ 07004 Phone: 862-702-3420 Fax: 862-702-3421 | |
Titan Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 461 Us Highway 46, Fairfield, NJ 07004 Phone: 570-606-5399 | |
Mr. Justin S. Solotoff, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Us Highway 46, Suite G 106, Fairfield, NJ 07004 Phone: 973-276-1313 |