Active NPIIndividual provider

Ms. Susan Moldt, PTA

Physical Therapy Assistant in Cedar Grove, New Jersey

NPI Number1164546354
Practice location
25 E Lindsley RD, Cedar Grove, NJ 07009-1023
Fax
—
Last updated
July 8, 2007

Susan Moldt is a Physical Therapy Assistant based in Cedar Grove, NJ. Susan Moldt practices in Cedar Grove, NJ and has the professional credentials of PTA. The NPI Number for Susan Moldt is 1164546354 and holds a License No. 40QB00109100 (NJ). The current practice location address for Susan Moldt is 25 E Lindsley RD, Cedar Grove, NJ 07009-1023 and can be reached out via phone at 973-256-7220.

Provider Profile Details

NPI Number
1164546354
Provider Name
Susan Moldt
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
25 E Lindsley RD, Cedar Grove, NJ 07009-1023
Phone Number
973-256-7220
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 E Lindsley RD
Cedar Grove, NJ 07009-1023
Zip
07009-1023
Phone Number
973-256-7220
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
44 Allan Dr
North Arlington, NJ 07031-5147
City
North Arlington
State
NJ
Zip
07031-5147
Phone Number
201-998-4403

License Information

License Number
40QB00109100
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 Ms. Susan Moldt, PTA?

The NPI number of Ms. Susan Moldt, PTA is 1164546354. It was assigned on March 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan Moldt, PTA?

Ms. Susan Moldt, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00109100.

Where does Ms. Susan Moldt, PTA practice?

The practice location is 25 E Lindsley RD, Cedar Grove, NJ 07009-1023. The office can be reached at 973-256-7220 (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 1164546354 directly on the NPPES registry website.

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