Richard Maxwell, PT DPT | |
760 Bloomfield Ave, West Caldwell, NJ 07006-6710 | |
(973) 954-9190 | |
Not Available |
Full Name | Richard Maxwell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 760 Bloomfield Ave, West Caldwell, 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 |
---|---|---|---|
1174249569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01901000 (New Jersey) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
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Richard Maxwell, PT DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (973) 584-3192 | Richard Maxwell, PT DPT 760 Bloomfield Ave, West Caldwell, NJ 07006-6710 Ph: (973) 954-9190 |
Trung M Le, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Fairfield Ave, West Caldwell, NJ 07006 Phone: 973-226-1100 | |
Ghilene Joseph, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 Passaic Ave, West Caldwell, NJ 07006 Phone: 973-575-7576 Fax: 973-575-7985 | |
Mrs. Beth A. Smith, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Passaic Ave, West Caldwell, NJ 07006 Phone: 973-575-7576 | |
Melissa Holland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1129 Bloomfield Ave, West Caldwell, NJ 07006 Phone: 973-575-7576 | |
Dr. Anil Rana, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1140 Bloomfield Avenue, Suite 100, West Caldwell, NJ 07006 Phone: 973-439-1007 Fax: 973-439-1009 | |
Mrs. Marian N Habib, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 459 Passaic Ave, West Caldwell, NJ 07006 Phone: 973-276-6700 |