| Diane B Matlick, PT | |
|
219 Richmond Ave, New Milford, NJ 07646-2517 | |
| (201) 907-3150 | |
| (201) 907-3155 |
| Full Name | Diane B Matlick |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 219 Richmond Ave, New Milford, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093428138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01105300 (New Jersey) | Primary |
| Provider Name | Madison Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053687566 PECOS PAC ID: 8921261934 Enrollment ID: O20120531000114 |
| Provider Name | Madison Spine Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689940900 PECOS PAC ID: 3274797246 Enrollment ID: O20120605000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane B Matlick, PT Po Box 19, New Milford, NJ 07646-0019 Ph: (201) 907-3150 | Diane B Matlick, PT 219 Richmond Ave, New Milford, NJ 07646-2517 Ph: (201) 907-3150 |
Mrs. Anitha Simon Samuel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 302 Neumaier Dr, New Milford, NJ 07646 Phone: 201-265-5888 | |
Madison Spine And Physicaltherapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 Richmond Ave, New Milford, NJ 07646 Phone: 201-907-3150 Fax: 201-907-0404 | |
Michelle Moresca Armedilla, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Linden Place, New Milford, NJ 07646 Phone: 818-648-3043 Fax: 718-518-1244 | |
Alexandre Kim, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 Richmond Ave, New Milford, NJ 07646 Phone: 201-907-3150 Fax: 201-907-3165 | |
Johnson Anabon Pocdihon, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 218 Faller Dr Apt B, New Milford, NJ 07646 Phone: 646-667-7129 | |
Perry J Bonomo, MAPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 219 Richmond Ave, New Milford, NJ 07646 Phone: 201-907-3150 Fax: 201-907-3155 |