Active NPIIndividual providerSole proprietor

Mr. Joseph I Rallistan

Physical Therapist in Keyport, New Jersey

NPI Number1043698566
Practice location
14 Provost Ave, Keyport, NJ 07735-1023
Fax
—
Last updated
November 18, 2022

Joseph Ignacio Rallistan is a Physical Therapist based in Keyport, NJ. Joseph Ignacio Rallistan practices in Keyport, NJ. The NPI Number for Joseph Ignacio Rallistan is 1043698566 and holds a License No. 40QA01608200 (NJ). The current practice location address for Joseph Ignacio Rallistan is 14 Provost Ave, Keyport, NJ 07735-1023 and can be reached out via phone at 205-544-5143.

Provider Profile Details

NPI Number
1043698566
Provider Name
Joseph Ignacio Rallistan
Provider Entity Type
Individual
Gender
Male
Address
14 Provost Ave, Keyport, NJ 07735-1023
Phone Number
205-544-5143
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2015
Last Update Date
November 18, 2022
Certification Date
November 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Provost Ave
Keyport, NJ 07735-1023
Zip
07735-1023
Phone Number
205-544-5143
Keyport, NJ 07735Get directions →

Provider Business Mailing Address Details

Address
14 Provost Ave
Keyport, NJ 07735-1023
City
Keyport
State
NJ
Zip
07735-1023
Phone Number
205-544-5143

License Information

License Number
40QA01608200
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Mr. Joseph I Rallistan?

The NPI number of Mr. Joseph I Rallistan is 1043698566. It was assigned on May 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Joseph I Rallistan?

Mr. Joseph I Rallistan is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01608200.

Where does Mr. Joseph I Rallistan practice?

The practice location is 14 Provost Ave, Keyport, NJ 07735-1023. The office can be reached at 205-544-5143 (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 1043698566 directly on the NPPES registry website.

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