| Hybrid Pt, Llc | |
|
962 Kinderkamack Rd, River Edge, NJ 07661-2331 | |
| (201) 429-3996 | |
| (201) 812-9604 |
| Full Name | Hybrid Pt, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 962 Kinderkamack Rd, River Edge, 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 |
|---|---|---|---|
| 1952805392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01252200 (New Jersey) | Primary |
| Provider Name | James Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528229200 PECOS PAC ID: 0042384406 Enrollment ID: I20080801000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Hybrid Pt, Llc 962 Kinderkamack Road, River Edge, NJ 07661-2331 Ph: (201) 429-3996 | Hybrid Pt, Llc 962 Kinderkamack Rd, River Edge, NJ 07661-2331 Ph: (201) 429-3996 |
Sheli Dansky, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 797 6th Ave, River Edge, NJ 07661 Phone: 201-599-9034 Fax: 201-599-9034 | |
Dr. Brianne Lee Etter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Elm Ave, River Edge, NJ 07661 Phone: 201-486-6331 | |
Peter Hastings, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Adams Ave, River Edge, NJ 07661 Phone: 201-321-9070 | |
Sridhar Yalamanchili, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1176 Main St Apt 39, River Edge, NJ 07661 Phone: 201-742-5374 | |
Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Kinderkamack Rd, River Edge, NJ 07661 Phone: 201-523-9207 Fax: 201-523-9208 | |
Elliott Luty, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 530 Kinderkamack Rd, River Edge, NJ 07661 Phone: 201-523-9207 Fax: 201-523-9208 | |
Justin Grubb, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 530 Kinderkamack Rd, River Edge, NJ 07661 Phone: 201-523-9207 Fax: 201-523-9208 |