Mr Michael Sadol, PT, DPT | |
15 Esser Pl, Bergenfield, NJ 07621-1809 | |
(646) 318-3555 | |
Not Available |
Full Name | Mr Michael Sadol |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 15 Esser Pl, Bergenfield, 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 |
---|---|---|---|
1669791521 | NPI | - | NPPES |
263762745 | Medicaid | NY | |
40QA01361500 | Other | NJ | NJ PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 029690-1 (New York) | Secondary |
225100000X | Physical Therapist | 40QA01361500 (New Jersey) | Primary |
Provider Name | Balanced Body Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740690627 PECOS PAC ID: 0749401016 Enrollment ID: O20141030000749 |
Provider Name | Pinnacle Homecare Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982488441 PECOS PAC ID: 0648626234 Enrollment ID: O20231102003036 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Sadol, PT, DPT 15 Esser Pl, Bergenfield, NJ 07621-1809 Ph: (646) 318-3555 | Mr Michael Sadol, PT, DPT 15 Esser Pl, Bergenfield, NJ 07621-1809 Ph: (646) 318-3555 |
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