| Raven Loftus, PT, DPT | |
|
63 Lacey Rd Ste H, Whiting, NJ 08759-2966 | |
| (732) 716-0111 | |
| (732) 716-0114 |
| Full Name | Raven Loftus |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 63 Lacey Rd Ste H, Whiting, 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 |
|---|---|---|---|
| 1790406122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02112800 (New Jersey) | Primary |
| Provider Name | United Sports Care & Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1972881233 PECOS PAC ID: 9436324886 Enrollment ID: O20111213000548 |
| Provider Name | Sportscare Of America, Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851484380 PECOS PAC ID: 9032213756 Enrollment ID: O20150917000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Loftus, PT, DPT 11 Eagle Rock Ave Ste 201, East Hanover, NJ 07936-3167 Ph: (973) 887-9000 | Raven Loftus, PT, DPT 63 Lacey Rd Ste H, Whiting, NJ 08759-2966 Ph: (732) 716-0111 |
Amanda Higgins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 67 Lacey Rd, Whiting, NJ 08759 Phone: 732-849-1088 Fax: 732-849-0080 | |
Meredith L Hardie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63-h Lacey Road, Whiting, NJ 08759 Phone: 732-716-0111 Fax: 732-716-0114 | |
Randal Donald Holak, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Lacey Rd, Whiting, NJ 08759 Phone: 732-350-2355 | |
Ryan Chio, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Hilltop Rd, Whiting, NJ 08759 Phone: 732-849-0400 | |
Jennifer Vadas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 67 Lacey Rd, Suite 8-12, Whiting, NJ 08759 Phone: 732-849-0700 | |
Susan Carlson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Lacey Rd Ste A, Whiting, NJ 08759 Phone: 732-350-2355 Fax: 732-350-1905 | |
Margaret Sorge, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 67 Lacey Rd Ste 8-12, Whiting, NJ 08759 Phone: 732-849-0700 |