Shawn Berry, PT | |
315 Wootton Street, Units I And J, Boonton, NJ 07005 | |
(973) 794-6040 | |
Not Available |
Full Name | Shawn Berry |
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Gender | Male |
Speciality | Physical Therapist |
Location | 315 Wootton Street, Boonton, 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 |
---|---|---|---|
1063295889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02179300 (New Jersey) | Primary |
Provider Name | Four 3 Performance Laboratory Corp |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679936272 PECOS PAC ID: 3779831714 Enrollment ID: O20180807002717 |
Mailing Address | Practice Location Address |
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Shawn Berry, PT 315 Wootton Street, Units I And J, Boonton, NJ 07005 Ph: () - | Shawn Berry, PT 315 Wootton Street, Units I And J, Boonton, NJ 07005 Ph: (973) 794-6040 |
Soleil Castro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Wootton St # Ij, Boonton, NJ 07005 Phone: 973-794-6040 Fax: 973-794-6041 | |
Dr. William Anthony Bottino Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Wootton St, Units I And J, Boonton, NJ 07005 Phone: 973-794-6040 Fax: 973-794-6041 | |
Dr. Mark Christopher Balzotti, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 315 Wootton St # Gh, Boonton, NJ 07005 Phone: 973-917-3088 Fax: 973-917-3089 | |
Kyle Thomas Maynard, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 Wootton Street, Units I And J, Boonton, NJ 07005 Phone: 973-794-6040 | |
Catherine M Saint Jacques, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 Hawkins Pl Unit K, Boonton, NJ 07005 Phone: 973-299-1690 | |
Caitlin Cohen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Pine St, Boonton, NJ 07005 Phone: 973-714-2767 |