Justin D Ditheodore, PT
Physical Therapist in Vineland, New Jersey
1073836656- Practice location
- 298 S Delsea Dr, Vineland, NJ 08360-4568
- Phone
- 856-690-1616
- Fax
- 856-690-1089
- Last updated
- April 29, 2020
Justin D Ditheodore is a Physical Therapist based in Vineland, NJ. Justin D Ditheodore practices in Vineland, NJ and has the professional credentials of PT. The NPI Number for Justin D Ditheodore is 1073836656 and holds a License No. 40QA01339000 (NJ). The current practice location address for Justin D Ditheodore is 298 S Delsea Dr, Vineland, NJ 08360-4568 and can be reached out via phone at 856-690-1616 and via fax at 856-690-1089.
Provider Profile Details
- NPI Number
- 1073836656
- Provider Name
- Justin D Ditheodore
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 298 S Delsea Dr, Vineland, NJ 08360-4568
- Phone Number
- 856-690-1616
- Fax Number
- 856-690-1089
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 10, 2010
- Last Update Date
- April 29, 2020
- Certification Date
- April 29, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 298 S Delsea Dr
Vineland, NJ 08360-4568 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-4568
- Phone Number
- 856-690-1616
- Fax Number
- 856-690-1089
Provider Business Mailing Address Details
- Address
- 352 S Delsea Dr Ste C
Vineland, NJ 08360-5306 - City
- Vineland
- State
- NJ
- Zip
- 08360-5306
- Phone Number
- 856-690-1616
- Fax Number
- 856-690-1089
License Information
- License Number
- 40QA01339000
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Justin D Ditheodore, PT?
The NPI number of Justin D Ditheodore, PT is 1073836656. It was assigned on March 10, 2010 and is currently active in the NPPES registry.
What is the specialty of Justin D Ditheodore, PT?
Justin D Ditheodore, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01339000.
Where does Justin D Ditheodore, PT practice?
The practice location is 298 S Delsea Dr, Vineland, NJ 08360-4568. The office can be reached at 856-690-1616 (phone) or 856-690-1089 (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 1073836656 directly on the NPPES registry website.