Kathy Lea Tate, DPT | |
141 W Pleasant Ave, Maywood, NJ 07607-1333 | |
(201) 843-0026 | |
(201) 843-0032 |
Full Name | Kathy Lea Tate |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 141 W Pleasant Ave, Maywood, 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 |
---|---|---|---|
1376821926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0033872-1 (New York) | Secondary |
225100000X | Physical Therapist | 40QA01502000 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Motion Ut, Llc | 0143630285 | 5 |
Provider Name | Motion Ut, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518574177 PECOS PAC ID: 0143630285 Enrollment ID: O20201102000411 |
Mailing Address | Practice Location Address |
---|---|
Kathy Lea Tate, DPT 8 Craven Rd, Mountain Lakes, NJ 07046-1424 Ph: (201) 344-8811 | Kathy Lea Tate, DPT 141 W Pleasant Ave, Maywood, NJ 07607-1333 Ph: (201) 843-0026 |
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