Active NPIIndividual provider

Brian Konzelmann, DPT

Physical Therapist in Medford, New Jersey

NPI Number1184342941
Practice location
200 Tuckerton RD Ste 17, Medford, NJ 08055-8806
Fax
—
Last updated
August 18, 2022

Brian Konzelmann is a Physical Therapist based in Medford, NJ. Brian Konzelmann practices in Medford, NJ and has the professional credentials of DPT. The NPI Number for Brian Konzelmann is 1184342941 and holds a License No. 40QA02106300 (NJ). The current practice location address for Brian Konzelmann is 200 Tuckerton RD Ste 17, Medford, NJ 08055-8806 and can be reached out via phone at 856-396-2250.

Provider Profile Details

NPI Number
1184342941
Provider Name
Brian Konzelmann
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
200 Tuckerton RD Ste 17, Medford, NJ 08055-8806
Phone Number
856-396-2250
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2022
Last Update Date
August 18, 2022
Certification Date
August 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Tuckerton RD Ste 17
Medford, NJ 08055-8806
Zip
08055-8806
Phone Number
856-396-2250
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
Po Box 1014
Clark, NJ 07066-1014
City
Clark
State
NJ
Zip
07066-1014
Phone Number
732-855-9751

License Information

License Number
40QA02106300
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Brian Konzelmann, DPT?

The NPI number of Brian Konzelmann, DPT is 1184342941. It was assigned on August 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Brian Konzelmann, DPT?

Brian Konzelmann, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02106300.

Where does Brian Konzelmann, DPT practice?

The practice location is 200 Tuckerton RD Ste 17, Medford, NJ 08055-8806. The office can be reached at 856-396-2250 (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 1184342941 directly on the NPPES registry website.

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