Mr. Gil M Dersovitz, PT, OTR/L
Physical Therapist in Highland Park, New Jersey
1255517710- Practice location
- 324 Donaldson St, Highland Park, NJ 08904-2521
- Phone
- 917-613-6801
- Fax
- 866-734-1463
- Last updated
- January 15, 2008
Gil M Dersovitz is a Physical Therapist based in Highland Park, NJ. Gil M Dersovitz practices in Highland Park, NJ and has the professional credentials of PT, OTR/L. The NPI Number for Gil M Dersovitz is 1255517710 and holds a License No. 017930 (NY). The current practice location address for Gil M Dersovitz is 324 Donaldson St, Highland Park, NJ 08904-2521 and can be reached out via phone at 917-613-6801 and via fax at 866-734-1463.
Provider Profile Details
- NPI Number
- 1255517710
- Provider Name
- Gil M Dersovitz
- Credential
- PT, OTR/L
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 324 Donaldson St, Highland Park, NJ 08904-2521
- Phone Number
- 917-613-6801
- Fax Number
- 866-734-1463
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 15, 2008
- Last Update Date
- January 15, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 324 Donaldson St
Highland Park, NJ 08904-2521 - City
- Highland Park
- State
- New Jersey
- Zip
- 08904-2521
- Phone Number
- 917-613-6801
- Fax Number
- 866-734-1463
Provider Business Mailing Address Details
- Address
- 324 Donaldson St
Highland Park, NJ 08904-2521 - City
- Highland Park
- State
- NJ
- Zip
- 08904-2521
- Phone Number
- 917-613-6801
- Fax Number
- 866-734-1463
License Information
- License Number (1)
- 017930
- License State (1)
- NY
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 40QA01130400
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 012347
- License State (3)
- NY
- Taxonomy (3)
- Occupational Therapist · 225X00000X
- License Number (4)
- 46TR00382200
- License State (4)
- NJ
- Taxonomy (4)
- Occupational Therapist · 225X00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Gil M Dersovitz, PT, OTR/L?
The NPI number of Mr. Gil M Dersovitz, PT, OTR/L is 1255517710. It was assigned on January 15, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Gil M Dersovitz, PT, OTR/L?
Mr. Gil M Dersovitz, PT, OTR/L is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 017930.
Where does Mr. Gil M Dersovitz, PT, OTR/L practice?
The practice location is 324 Donaldson St, Highland Park, NJ 08904-2521. The office can be reached at 917-613-6801 (phone) or 866-734-1463 (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 1255517710 directly on the NPPES registry website.