Active NPIIndividual providerSole proprietor

Richard M Parke, PTA

Physical Therapy Assistant in Englewood, New Jersey

NPI Number1104390061
Practice location
155 W Hudson Ave, Englewood, NJ 07631-1609
Fax
—
Last updated
January 14, 2019

Richard Michael Parke is a Physical Therapy Assistant based in Englewood, NJ. Richard Michael Parke practices in Englewood, NJ and has the professional credentials of PTA. The NPI Number for Richard Michael Parke is 1104390061 and holds a License No. 40QB00053400 (NJ). The current practice location address for Richard Michael Parke is 155 W Hudson Ave, Englewood, NJ 07631-1609 and can be reached out via phone at 201-871-8882.

Provider Profile Details

NPI Number
1104390061
Provider Name
Richard Michael Parke
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
155 W Hudson Ave, Englewood, NJ 07631-1609
Phone Number
201-871-8882
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
January 14, 2019
Last Update Date
January 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 W Hudson Ave
Englewood, NJ 07631-1609
Zip
07631-1609
Phone Number
201-871-8882
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
798 Iron Latch RD
Franklin Lakes, NJ 07417-1434
City
Franklin Lakes
State
NJ
Zip
07417-1434

License Information

License Number
40QB00053400
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 Richard M Parke, PTA?

The NPI number of Richard M Parke, PTA is 1104390061. It was assigned on January 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Richard M Parke, PTA?

Richard M Parke, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00053400.

Where does Richard M Parke, PTA practice?

The practice location is 155 W Hudson Ave, Englewood, NJ 07631-1609. The office can be reached at 201-871-8882 (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 1104390061 directly on the NPPES registry website.

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