Ikpt, Llc | |
8 Lauren Pond Ct, Demarest, NJ 07627-2500 | |
(120) 168-1751 | |
(201) 750-6442 |
Full Name | Ikpt, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 8 Lauren Pond Ct, Demarest, 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 |
---|---|---|---|
1619577889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ilena Kipnis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164501995 PECOS PAC ID: 9234125485 Enrollment ID: I20041019000109 |
Mailing Address | Practice Location Address |
---|---|
Ikpt, Llc 24 W Railroad Ave # 308, Tenafly, NJ 07670-1735 Ph: (201) 750-6708 | Ikpt, Llc 8 Lauren Pond Ct, Demarest, NJ 07627-2500 Ph: (120) 168-1751 |
Mrs. Sonal R Modi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Ross Ave, Demarest, NJ 07627 Phone: 201-767-7267 Fax: 201-750-2477 | |
Mr. Kazuhiro Tomioka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71 Everett Rd, Demarest, NJ 07627 Phone: 201-956-2268 | |
Sonal Modi Pt Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Ross Ave, Demarest, NJ 07627 Phone: 201-674-2022 Fax: 201-750-2477 |