Active NPIIndividual provider

Yevgenia Raizman, PTA

Physical Therapy Assistant in Eatontown, New Jersey

NPI Number1043890338
Practice location
1 Main St Ste 505, Eatontown, NJ 07724-3903
Fax
732-876-4967
Last updated
April 11, 2021

Yevgenia Raizman is a Physical Therapy Assistant based in Eatontown, NJ. Yevgenia Raizman practices in Eatontown, NJ and has the professional credentials of PTA. The NPI Number for Yevgenia Raizman is 1043890338 and holds a License No. 40QB00358100 (NJ). The current practice location address for Yevgenia Raizman is 1 Main St Ste 505, Eatontown, NJ 07724-3903 and can be reached out via phone at 732-493-3100 and via fax at 732-876-4967.

Provider Profile Details

NPI Number
1043890338
Provider Name
Yevgenia Raizman
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
1 Main St Ste 505, Eatontown, NJ 07724-3903
Phone Number
732-493-3100
Fax Number
732-876-4967
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2021
Last Update Date
April 11, 2021
Certification Date
April 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Main St Ste 505
Eatontown, NJ 07724-3903
Zip
07724-3903
Phone Number
732-493-3100
Fax Number
732-876-4967
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
1 Main St Ste 505
Eatontown, NJ 07724-3903
City
Eatontown
State
NJ
Zip
07724-3903
Phone Number
732-493-3100
Fax Number
732-876-4967

License Information

License Number
40QB00358100
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 Yevgenia Raizman, PTA?

The NPI number of Yevgenia Raizman, PTA is 1043890338. It was assigned on April 11, 2021 and is currently active in the NPPES registry.

What is the specialty of Yevgenia Raizman, PTA?

Yevgenia Raizman, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00358100.

Where does Yevgenia Raizman, PTA practice?

The practice location is 1 Main St Ste 505, Eatontown, NJ 07724-3903. The office can be reached at 732-493-3100 (phone) or 732-876-4967 (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 1043890338 directly on the NPPES registry website.

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