Mr Joseph Ignacio Rallistan, | |
14 Provost Ave, Keyport, NJ 07735-1023 | |
(205) 544-5143 | |
Not Available |
Full Name | Mr Joseph Ignacio Rallistan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 14 Provost Ave, Keyport, 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 |
---|---|---|---|
1043698566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01608200 (New Jersey) | Primary |
Provider Name | Mobile Therapy Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021 |
Provider Name | Bridgeway Care At Home Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104383421 PECOS PAC ID: 6406198373 Enrollment ID: O20190424001051 |
Provider Name | Esd Pt Ot & Slp Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003383308 PECOS PAC ID: 5991044125 Enrollment ID: O20210128001265 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph Ignacio Rallistan, 14 Provost Ave, Keyport, NJ 07735-1023 Ph: (205) 544-5143 | Mr Joseph Ignacio Rallistan, 14 Provost Ave, Keyport, NJ 07735-1023 Ph: (205) 544-5143 |
Mr. Richard Curry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Maple Pl, Keyport, NJ 07735 Phone: 732-264-8900 | |
Ma Elena C Soriano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 194 2nd St, Keyport, NJ 07735 Phone: 732-497-5355 | |
Mrs. Maureen Frances Rubin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Maple Pl, Keyport, NJ 07735 Phone: 732-264-8900 |