| Maize & Blue Rehab | |
|
104 Main St Ste 1a, Sparta, NJ 07871-1945 | |
| (973) 729-1222 | |
| Not Available |
| Full Name | Maize & Blue Rehab |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 104 Main St Ste 1a, Sparta, 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 |
|---|---|---|---|
| 1104585264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Meghan H Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124174164 PECOS PAC ID: 1153369491 Enrollment ID: I20050419000145 |
| Provider Name | Melissa Prestipino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225011273 PECOS PAC ID: 5991723652 Enrollment ID: I20051110000838 |
| Provider Name | Adrianna O Krul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780234757 PECOS PAC ID: 9335571223 Enrollment ID: I20191114001588 |
| Provider Name | Tyler Morando |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649887928 PECOS PAC ID: 9335559434 Enrollment ID: I20201030001446 |
| Provider Name | Zachary Katzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194312348 PECOS PAC ID: 9133532187 Enrollment ID: I20210112000553 |
| Provider Name | Madison Marie Sisco |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285208405 PECOS PAC ID: 0840664215 Enrollment ID: I20230327000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Maize & Blue Rehab 2 Mount Pleasant Rd, Sparta, NJ 07871-3844 Ph: () - | Maize & Blue Rehab 104 Main St Ste 1a, Sparta, NJ 07871-1945 Ph: (973) 729-1222 |
Allyson B Alexander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13a Main St, Suite 4, Sparta, NJ 07871 Phone: 973-726-7400 Fax: 973-726-7440 | |
Jamie L Desena, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13a Main St, Suite 4, Sparta, NJ 07871 Phone: 973-726-7400 Fax: 973-726-7440 | |
Andrew Michael Evans, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13a Main St, Suite 4, Sparta, NJ 07871 Phone: 973-726-7400 Fax: 973-726-7440 | |
North Jersey Scoliosis And Physical Therapy Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 580 Lafayette Rd, St K, Sparta, NJ 07871 Phone: 862-268-0582 | |
Gabrielle A Gordon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 Lafayette Rd, Suite B, Sparta, NJ 07871 Phone: 973-940-8680 Fax: 973-940-8634 | |
Trinity Rehab Sparta Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 North Village Blvd, Suite D, Sparta, NJ 07871 Phone: 732-219-5700 | |
Townsend Physical Therapy And Healthcare Physical Therapist Medicare: Medicare Enrolled Practice Location: 580 State Route 15, Sparta, NJ 07871 Phone: 973-862-4177 |