Active NPIIndividual provider

Renee Reardon, PTA

Physical Therapy Assistant in Vineland, New Jersey

NPI Number1083216733
Practice location
2630 E Chestnut Ave Ste C5, Vineland, NJ 08361-8400
Fax
—
Last updated
November 9, 2020

Renee Reardon is a Physical Therapy Assistant based in Vineland, NJ. Renee Reardon practices in Vineland, NJ and has the professional credentials of PTA. The NPI Number for Renee Reardon is 1083216733 and holds a License No. 40QB00128800 (NJ). The current practice location address for Renee Reardon is 2630 E Chestnut Ave Ste C5, Vineland, NJ 08361-8400 and can be reached out via phone at 856-692-1483.

Provider Profile Details

NPI Number
1083216733
Provider Name
Renee Reardon
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
2630 E Chestnut Ave Ste C5, Vineland, NJ 08361-8400
Phone Number
856-692-1483
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2020
Last Update Date
November 9, 2020
Certification Date
November 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2630 E Chestnut Ave Ste C5
Vineland, NJ 08361-8400
Zip
08361-8400
Phone Number
856-692-1483
Vineland, NJ 08361Get directions →

Provider Business Mailing Address Details

Address
900 Route 9 N Ste 410
Woodbridge, NJ 07095-1003
City
Woodbridge
State
NJ
Zip
07095-1003
Phone Number
201-801-7141

License Information

License Number
40QB00128800
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 Renee Reardon, PTA?

The NPI number of Renee Reardon, PTA is 1083216733. It was assigned on November 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Renee Reardon, PTA?

Renee Reardon, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00128800.

Where does Renee Reardon, PTA practice?

The practice location is 2630 E Chestnut Ave Ste C5, Vineland, NJ 08361-8400. The office can be reached at 856-692-1483 (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 1083216733 directly on the NPPES registry website.

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