Justin Datorre, PT, DPT | |
1873 Route 70 E Ste 1-j, Cherry Hill, NJ 08003-2034 | |
(856) 428-4030 | |
(856) 428-1093 |
Full Name | Justin Datorre |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 1873 Route 70 E Ste 1-j, Cherry Hill, 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 |
---|---|---|---|
1861046864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 40QA01869700 (New Jersey) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Provider Name | Orthopedic And Sports Physical Therapy Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588661235 PECOS PAC ID: 4082507660 Enrollment ID: O20040902001012 |
Mailing Address | Practice Location Address |
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Justin Datorre, PT, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (888) 830-4125 | Justin Datorre, PT, DPT 1873 Route 70 E Ste 1-j, Cherry Hill, NJ 08003-2034 Ph: (856) 428-4030 |
Mrs. Terri Rice, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1399 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-663-4607 | |
Regina A Derikito, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 866-210-1111 | |
Noelle Pickett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Avia Marder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Janica Marie Nuestro, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mr. Michael Marino, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Lori Ann Zielinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Kings Hwy N, Fox Rehabilitation Services, Cherry Hill, NJ 08034 Phone: 877-407-3422 Fax: 877-407-4329 |