Advanced Physical Medicine And Rehabilitation, Llc | |
1719 Main St, Suite 101, Lake Como, NJ 07719-3097 | |
(732) 894-9200 | |
(732) 894-9202 |
Full Name | Advanced Physical Medicine And Rehabilitation, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1719 Main St, Lake Como, 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 |
---|---|---|---|
1649561812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01350900 (New Jersey) | Primary |
Provider Name | Louis Campasano |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609899970 PECOS PAC ID: 7214989912 Enrollment ID: I20050210000472 |
Provider Name | Gary M Cookson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538108105 PECOS PAC ID: 0840487302 Enrollment ID: I20101209000442 |
Provider Name | Michelle S Davis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841423282 PECOS PAC ID: 2769662048 Enrollment ID: I20110203000170 |
Provider Name | Daniel Reizis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174835755 PECOS PAC ID: 1456539055 Enrollment ID: I20110630000368 |
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 | Kevin M Picardo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821423203 PECOS PAC ID: 1759513807 Enrollment ID: I20140404000029 |
Provider Name | Laura A Anastasia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457772071 PECOS PAC ID: 9739402140 Enrollment ID: I20141216000162 |
Provider Name | Vidisha N Shah |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003152265 PECOS PAC ID: 5991014953 Enrollment ID: I20151014002686 |
Provider Name | Benjamin W Fan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932561875 PECOS PAC ID: 2567761679 Enrollment ID: I20160425000436 |
Provider Name | Mary E Mccoy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730621376 PECOS PAC ID: 4082995782 Enrollment ID: I20170111000136 |
Provider Name | Matthew Scott Frawley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598205692 PECOS PAC ID: 0648557942 Enrollment ID: I20170515000044 |
Provider Name | Ryan Dean |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538550157 PECOS PAC ID: 2860760212 Enrollment ID: I20170608000214 |
Provider Name | Chintan P Shah |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043794407 PECOS PAC ID: 9133472319 Enrollment ID: I20181106000678 |
Provider Name | Charisse K Siracusa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851956403 PECOS PAC ID: 7012240005 Enrollment ID: I20190606000060 |
Provider Name | Joshua N Chu |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255989596 PECOS PAC ID: 6709116262 Enrollment ID: I20190925003054 |
Provider Name | Jose P Cariaso |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255972600 PECOS PAC ID: 4981037280 Enrollment ID: I20191126003223 |
Provider Name | Dominica Hanna |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689175796 PECOS PAC ID: 8123452158 Enrollment ID: I20191230001367 |
Provider Name | John Ellis Murray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598315426 PECOS PAC ID: 6800221516 Enrollment ID: I20200127001877 |
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 | Radha A Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841824653 PECOS PAC ID: 5395173454 Enrollment ID: I20200324000928 |
Provider Name | Erika Nicole Lopez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336693548 PECOS PAC ID: 5294023214 Enrollment ID: I20200605000093 |
Provider Name | Joshua L Mchugh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104202217 PECOS PAC ID: 3971811951 Enrollment ID: I20200820003341 |
Provider Name | Lisa M Scarlino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366989733 PECOS PAC ID: 3173942265 Enrollment ID: I20200923000005 |
Provider Name | Qian R Zhang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255935334 PECOS PAC ID: 6103238605 Enrollment ID: I20201207001322 |
Provider Name | Nicolas G Campbell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447852850 PECOS PAC ID: 6002220688 Enrollment ID: I20210121001976 |
Provider Name | Rupal Panchal |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861057366 PECOS PAC ID: 4284968470 Enrollment ID: I20210215000505 |
Provider Name | Jacqueline M Clarke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427639178 PECOS PAC ID: 6608284047 Enrollment ID: I20210422003186 |
Provider Name | Margaret D Getler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558037150 PECOS PAC ID: 2860883386 Enrollment ID: I20211216002783 |
Provider Name | Jyoti Panchal |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164984837 PECOS PAC ID: 0547593469 Enrollment ID: I20220713003208 |
Provider Name | Anthony N Baldachino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265173611 PECOS PAC ID: 9638545163 Enrollment ID: I20221025000035 |
Mailing Address | Practice Location Address |
---|---|
Advanced Physical Medicine And Rehabilitation, Llc 1719 Main St, Suite 101, Lake Como, NJ 07719-3097 Ph: (732) 894-9200 | Advanced Physical Medicine And Rehabilitation, Llc 1719 Main St, Suite 101, Lake Como, NJ 07719-3097 Ph: (732) 894-9200 |
Chintan Pragnesh Shah, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Eleanor C Register, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Jose Padua Cariaso, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1719 Main St Unit 101, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Joshua N Chu, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9000 Fax: 732-894-9202 | |
Vincent Cavaliere, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Justin Gardner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Vincent Lam, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 |