Active NPIIndividual providerSole proprietor

Andrew Reissig, PTA

Physical Therapy Assistant in Wyckoff, New Jersey

NPI Number1003552266
Practice location
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Fax
—
Last updated
May 10, 2022

Andrew Reissig is a Physical Therapy Assistant based in Wyckoff, NJ. Andrew Reissig practices in Wyckoff, NJ and has the professional credentials of PTA. The NPI Number for Andrew Reissig is 1003552266 and holds a License No. 40QB00196400 (NJ). The current practice location address for Andrew Reissig is 301 Sicomac Ave, Wyckoff, NJ 07481-2159 and can be reached out via phone at 201-824-5624.

Provider Profile Details

NPI Number
1003552266
Provider Name
Andrew Reissig
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone Number
201-824-5624
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2022
Last Update Date
May 10, 2022
Certification Date
May 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Zip
07481-2159
Phone Number
201-824-5624
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
64 E Johnson Ave
Bergenfield, NJ 07621-1817
City
Bergenfield
State
NJ
Zip
07621-1817
Phone Number
201-220-8061

License Information

License Number
40QB00196400
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrew Reissig, PTA?

The NPI number of Andrew Reissig, PTA is 1003552266. It was assigned on May 10, 2022 and is currently active in the NPPES registry.

What is the specialty of Andrew Reissig, PTA?

Andrew Reissig, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00196400.

Where does Andrew Reissig, PTA practice?

The practice location is 301 Sicomac Ave, Wyckoff, NJ 07481-2159. The office can be reached at 201-824-5624 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003552266 directly on the NPPES registry website.

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