Active NPIIndividual providerSole proprietor

Omprakash Gangappagari, PTA

Physical Therapy Assistant in Millburn, New Jersey

NPI Number1023605110
Practice location
33 Bleeker St Fl 2, Millburn, NJ 07041-1459
Fax
718-377-5002
Last updated
December 23, 2020

Omprakash Gangappagari is a Physical Therapy Assistant based in Millburn, NJ. Omprakash Gangappagari practices in Millburn, NJ and has the professional credentials of PTA. The NPI Number for Omprakash Gangappagari is 1023605110 and holds a License No. 012708 (NY). The current practice location address for Omprakash Gangappagari is 33 Bleeker St Fl 2, Millburn, NJ 07041-1459 and can be reached out via phone at 718-377-5000 and via fax at 718-377-5002.

Provider Profile Details

NPI Number
1023605110
Provider Name
Omprakash Gangappagari
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
33 Bleeker St Fl 2, Millburn, NJ 07041-1459
Phone Number
718-377-5000
Fax Number
718-377-5002
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
December 23, 2020
Last Update Date
December 23, 2020
Certification Date
December 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Bleeker St Fl 2
Millburn, NJ 07041-1459
Zip
07041-1459
Phone Number
718-377-5000
Fax Number
718-377-5002
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
33 Bleeker St Fl 2
Millburn, NJ 07041-1459
City
Millburn
State
NJ
Zip
07041-1459
Phone Number
718-377-5000
Fax Number
718-377-5002

License Information

License Number
012708
License State
NY
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 Omprakash Gangappagari, PTA?

The NPI number of Omprakash Gangappagari, PTA is 1023605110. It was assigned on December 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Omprakash Gangappagari, PTA?

Omprakash Gangappagari, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 012708.

Where does Omprakash Gangappagari, PTA practice?

The practice location is 33 Bleeker St Fl 2, Millburn, NJ 07041-1459. The office can be reached at 718-377-5000 (phone) or 718-377-5002 (fax).

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 1023605110 directly on the NPPES registry website.

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