| Revive Physical Therapy And Wellness Center | |
|
1941 Oak Tree Rd Ste 302, Edison, NJ 08820-2068 | |
| (732) 662-7927 | |
| (732) 662-7928 |
| Full Name | Revive Physical Therapy And Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1941 Oak Tree Rd Ste 302, Edison, 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 |
|---|---|---|---|
| 1609011493 | NPI | - | NPPES |
| 40QA00943300 | Other | NJ | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00943300 (New Jersey) | Primary |
| Provider Name | Diane K Shiao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215147038 PECOS PAC ID: 7416026174 Enrollment ID: I20080521000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Physical Therapy And Wellness Center 1941 Oak Tree Rd Ste 302, Edison, NJ 08820-2068 Ph: (732) 662-7927 | Revive Physical Therapy And Wellness Center 1941 Oak Tree Rd Ste 302, Edison, NJ 08820-2068 Ph: (732) 662-7927 |
Mrs. Mary Tsarevich Ongsuco, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4 Weldon Rd, Edison, NJ 08817 Phone: 646-267-0502 | |
Sonali Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Ferris Rd, Edison, NJ 08817 Phone: 848-248-2242 | |
Healing Handz Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 161 Lincoln Hwy Unit A, Edison, NJ 08820 Phone: 732-902-2700 Fax: 949-862-7791 | |
Katerina Fishman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Parsonage Rd Ste 508, Edison, NJ 08837 Phone: 732-906-1144 Fax: 732-906-0253 | |
Dr. Kulwant Kaur, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 629 Amboy Ave, Edison, NJ 08837 Phone: 732-485-3990 | |
Dr. Gurpreet Singh Hunjan, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Parsonage Rd, Suite 508, Edison, NJ 08837 Phone: 732-906-1144 Fax: 732-906-0253 | |
Miss Ruby Buenvenida, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Ethel Rd, Suite 403b, Edison, NJ 08817 Phone: 732-549-2030 |