Imani Coleman, PT, DPT | |
555 S Livingston Ave, Livingston, NJ 07039-5410 | |
(973) 974-9292 | |
Not Available |
Full Name | Imani Coleman |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 555 S Livingston Ave, Livingston, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356018337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02038500 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jag-one Physical Therapy Llc | 2769584325 | 223 |
Provider Name | Sports Medicine Center Of Bergen Pa |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609990019 PECOS PAC ID: 6507840550 Enrollment ID: O20040616001004 |
Provider Name | Jag-one Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
Mailing Address | Practice Location Address |
---|---|
Imani Coleman, PT, DPT 605 Main St, Hackensack, NJ 07601-5914 Ph: (201) 488-0488 | Imani Coleman, PT, DPT 555 S Livingston Ave, Livingston, NJ 07039-5410 Ph: (973) 974-9292 |
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