Active NPIIndividual providerSole proprietor

Sean N Tesoro-Racelis, DPT

Physical Therapist in Jersey City, New Jersey

NPI Number1063001048
Practice location
355 Grand St, Jersey City, NJ 07302-4321
Fax
—
Last updated
January 13, 2021

Sean Niko Tesoro-Racelis is a Physical Therapist based in Jersey City, NJ. Sean Niko Tesoro-Racelis practices in Jersey City, NJ and has the professional credentials of DPT. The NPI Number for Sean Niko Tesoro-Racelis is 1063001048 and holds a License No. 40QA01924500 (NJ). The current practice location address for Sean Niko Tesoro-Racelis is 355 Grand St, Jersey City, NJ 07302-4321 and can be reached out via phone at 201-915-2000.

Provider Profile Details

NPI Number
1063001048
Provider Name
Sean Niko Tesoro-Racelis
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
355 Grand St, Jersey City, NJ 07302-4321
Phone Number
201-915-2000
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2021
Last Update Date
January 13, 2021
Certification Date
January 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Grand St
Jersey City, NJ 07302-4321
Zip
07302-4321
Phone Number
201-915-2000
Jersey City, NJ 07302Get directions →

Provider Business Mailing Address Details

Address
1104 Heckel Dr
Mountainside, NJ 07092-2029
City
Mountainside
State
NJ
Zip
07092-2029
Phone Number
908-868-9227

License Information

License Number
40QA01924500
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 Sean N Tesoro-Racelis, DPT?

The NPI number of Sean N Tesoro-Racelis, DPT is 1063001048. It was assigned on January 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Sean N Tesoro-Racelis, DPT?

Sean N Tesoro-Racelis, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01924500.

Where does Sean N Tesoro-Racelis, DPT practice?

The practice location is 355 Grand St, Jersey City, NJ 07302-4321. The office can be reached at 201-915-2000 (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 1063001048 directly on the NPPES registry website.

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