Mr Charles Larue Smith Jr, MPT | |
77 Madison Ave, Morristown, NJ 07960-7330 | |
(973) 540-9800 | |
Not Available |
Full Name | Mr Charles Larue Smith Jr |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 77 Madison Ave, Morristown, 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 |
---|---|---|---|
1295937050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00976600 (New Jersey) | Primary |
225100000X | Physical Therapist | PT-01355L (Pennsylvania) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Network Inc | 3476539776 | 463 |
Provider Name | Ivyrehab Network Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Larue Smith Jr, MPT 55 Village Grn Apt L, Budd Lake, NJ 07828-1355 Ph: (917) 613-8338 | Mr Charles Larue Smith Jr, MPT 77 Madison Ave, Morristown, NJ 07960-7330 Ph: (973) 540-9800 |
Denise Pappaceno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 455 Western Ave, Villa Walsh, Morristown, NJ 07960 Phone: 973-538-2886 Fax: 973-871-1128 | |
Miss Justine Deluccio, MSPT, OCS, FAAOMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Madison Ave, Ste 205, Morristown, NJ 07960 Phone: 973-292-1101 Fax: 973-292-4149 | |
Mr. John Vicchio, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Mount Kemble Ave, Morristown, NJ 07960 Phone: 973-538-8877 Fax: 973-538-8873 | |
Courtney Pepper, Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Headquarters Plz Lowr Lobby, Morristown, NJ 07960 Phone: 973-947-8876 | |
Donabel Dalagan Asne, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 77 Madison Ave, Morristown, NJ 07960 Phone: 973-734-3332 | |
Carol Correa Tan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 Lindsley Dr, Apt 2b, Morristown, NJ 07960 Phone: 816-225-7936 | |
Dr. Adam Yigal Braun, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 95 Madison Ave Ste 109a, Morristown, NJ 07960 Phone: 973-538-8877 |