| Shane Dimasso, DPT | |
|
444 Kinderkamack Rd, Emerson, NJ 07630-1134 | |
| (201) 350-6300 | |
| Not Available |
| Full Name | Shane Dimasso |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 444 Kinderkamack Rd, Emerson, 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 |
|---|---|---|---|
| 1598449399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02178900 (New Jersey) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Trinity Rehab Somerset Pa |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245789064 PECOS PAC ID: 0547540809 Enrollment ID: O20170113000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Dimasso, DPT 470 Bogert Rd, River Edge, NJ 07661-2133 Ph: () - | Shane Dimasso, DPT 444 Kinderkamack Rd, Emerson, NJ 07630-1134 Ph: (201) 350-6300 |
Lauren Giannetti, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 444 Kinderkamack Rd, Emerson, NJ 07630 Phone: 201-350-6300 | |
Mina Belfert, PT, DPT, CLT, ONCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Kinderkamack Rd Ste 102, Emerson, NJ 07630 Phone: 201-261-2718 Fax: 201-261-2978 | |
Phyllis Flancbaum, PT, LNHA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Kinderkamack Rd, Emerson, NJ 07630 Phone: 201-265-3700 Fax: 201-265-2700 | |
Dr. Deirdre Anne Rifenburgh, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Forest Ave, Emerson, NJ 07630 Phone: 201-262-5539 | |
Jonathan Dinnell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 Old Hook Rd, Emerson, NJ 07630 Phone: 201-497-6752 Fax: 201-497-6756 | |
Professional Orthopedic And Sports Physical Therapy Of Nj, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 Old Hook Rd, Emerson, NJ 07630 Phone: 201-497-6752 Fax: 201-497-6756 | |
Dr. Melissa Rusch, PT, DPT, PCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Seneca Ave, Emerson, NJ 07630 Phone: 516-521-5331 |