Revolutionary Physical Therapy Inc. | |
60 Garden St, Little Ferry, NJ 07643-1535 | |
(201) 667-6971 | |
Not Available |
Full Name | Revolutionary Physical Therapy Inc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 60 Garden St, Little Ferry, 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 |
---|---|---|---|
1578813994 | NPI | - | NPPES |
40QA00805300 | Other | NJ | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00805300 (New Jersey) | Primary |
Provider Name | Daniel Mercado |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093016941 PECOS PAC ID: 3072773654 Enrollment ID: I20120320000487 |
Mailing Address | Practice Location Address |
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Revolutionary Physical Therapy Inc. 60 Garden St, Little Ferry, NJ 07643-1535 Ph: (201) 667-6971 | Revolutionary Physical Therapy Inc. 60 Garden St, Little Ferry, NJ 07643-1535 Ph: (201) 667-6971 |
Mr. Daniel Mercado, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 60 Garden St, Little Ferry, NJ 07643 Phone: 201-667-6971 | |
Shanti K Chacko, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Hartwick St, Little Ferry, NJ 07643 Phone: 201-873-4968 | |
Cecille Mclarnon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 Liberty St Apt 8, Little Ferry, NJ 07643 Phone: 201-233-7839 | |
Mrs. Lori Tarabokia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Abend St, Little Ferry, NJ 07643 Phone: 201-321-9142 | |
Mr. Oliver Lawrence Zapanta San Pedro, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 167 Washington Ave, Little Ferry, NJ 07643 Phone: 201-641-1600 Fax: 201-807-0231 | |
Maria Leah Giabia Carreon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 Waterside Dr, Little Ferry, NJ 07643 Phone: 347-754-1346 | |
Mrs. Ronilda Pulido, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Prospect Ave, Little Ferry, NJ 07643 Phone: 201-641-8656 |