Active NPIIndividual provider

Michele B Fahrenfeld, PTA

Physical Therapy Assistant in Cedar Grove, New Jersey

NPI Number1063682904
Practice location
194 2ND Ave, Cedar Grove, NJ 07009-1141
Fax
973-812-0339
Last updated
March 6, 2008

Michele B. Fahrenfeld is a Physical Therapy Assistant based in Cedar Grove, NJ. Michele B. Fahrenfeld practices in Cedar Grove, NJ and has the professional credentials of PTA. The NPI Number for Michele B. Fahrenfeld is 1063682904 and holds a License No. 40QB00109200 (NJ). The current practice location address for Michele B. Fahrenfeld is 194 2ND Ave, Cedar Grove, NJ 07009-1141 and can be reached out via phone at 973-256-0330 and via fax at 973-812-0339.

Provider Profile Details

NPI Number
1063682904
Provider Name
Michele B. Fahrenfeld
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
194 2ND Ave, Cedar Grove, NJ 07009-1141
Phone Number
973-256-0330
Fax Number
973-812-0339
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2008
Last Update Date
March 6, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 2ND Ave
Cedar Grove, NJ 07009-1141
Zip
07009-1141
Phone Number
973-256-0330
Fax Number
973-812-0339
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
Po Box 319
Cedar Grove, NJ 07009-0319
City
Cedar Grove
State
NJ
Zip
07009-0319
Phone Number
973-256-0330
Fax Number
973-812-0339

License Information

License Number
40QB00109200
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 Michele B Fahrenfeld, PTA?

The NPI number of Michele B Fahrenfeld, PTA is 1063682904. It was assigned on March 6, 2008 and is currently active in the NPPES registry.

What is the specialty of Michele B Fahrenfeld, PTA?

Michele B Fahrenfeld, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00109200.

Where does Michele B Fahrenfeld, PTA practice?

The practice location is 194 2ND Ave, Cedar Grove, NJ 07009-1141. The office can be reached at 973-256-0330 (phone) or 973-812-0339 (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 1063682904 directly on the NPPES registry website.

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