Active NPIIndividual provider

Lawrence J Pemberton, PT, DPT

Physical Therapist in Millburn, New Jersey

NPI Number1194094276
Practice location
33 Bleeker St Ste 102, Millburn, NJ 07041-1460
Fax
732-855-9755
Last updated
March 3, 2020

Lawrence J Pemberton is a Physical Therapist based in Millburn, NJ. Lawrence J Pemberton practices in Millburn, NJ and has the professional credentials of PT, DPT. The NPI Number for Lawrence J Pemberton is 1194094276 and holds a License No. 40QA01481500 (NJ). The current practice location address for Lawrence J Pemberton is 33 Bleeker St Ste 102, Millburn, NJ 07041-1460 and can be reached out via phone at 973-258-1900 and via fax at 732-855-9755.

Provider Profile Details

NPI Number
1194094276
Provider Name
Lawrence J Pemberton
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
33 Bleeker St Ste 102, Millburn, NJ 07041-1460
Phone Number
973-258-1900
Fax Number
732-855-9755
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 20, 2011
Last Update Date
March 3, 2020
Certification Date
March 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Bleeker St Ste 102
Millburn, NJ 07041-1460
Zip
07041-1460
Phone Number
973-258-1900
Fax Number
732-855-9755
Millburn, NJ 07041Get 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
Fax Number
732-855-9755

License Information

License Number (1)
40QA01481500
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
1210060
License State (2)
TX
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
8990
License State (3)
TN
Taxonomy (3)
Physical Therapist · 225100000X

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 Lawrence J Pemberton, PT, DPT?

The NPI number of Lawrence J Pemberton, PT, DPT is 1194094276. It was assigned on December 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Lawrence J Pemberton, PT, DPT?

Lawrence J Pemberton, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01481500.

Where does Lawrence J Pemberton, PT, DPT practice?

The practice location is 33 Bleeker St Ste 102, Millburn, NJ 07041-1460. The office can be reached at 973-258-1900 (phone) or 732-855-9755 (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 1194094276 directly on the NPPES registry website.

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