Justin Gardner, PT, DPT | |
1719 Main St, Lake Como, NJ 07719-3097 | |
(732) 894-9200 | |
(732) 894-9202 |
Full Name | Justin Gardner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 1719 Main St, Lake Como, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528508041 | NPI | - | NPPES |
40QA01718800 | Other | NJ | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01718800 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barnegat Sports Rehabilitation And Physical Therapy Llc | 8628151693 | 12 |
Provider Name | Barnegat Sports Rehabilitation & Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477617405 PECOS PAC ID: 8628151693 Enrollment ID: O20080214000021 |
Mailing Address | Practice Location Address |
---|---|
Justin Gardner, PT, DPT 1719 Main St, Lake Como, NJ 07719-3097 Ph: (732) 894-9200 | Justin Gardner, PT, DPT 1719 Main St, Lake Como, NJ 07719-3097 Ph: (732) 894-9200 |
Chintan Pragnesh Shah, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Eleanor C Register, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Jose Padua Cariaso, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1719 Main St Unit 101, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Joshua N Chu, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9000 Fax: 732-894-9202 | |
Vincent Cavaliere, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Vincent Lam, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 |