Active NPIIndividual provider

Leslie Fontanez, PTA

Physical Therapy Assistant in Fair Lawn, New Jersey

NPI Number1265839278
Practice location
12-15 Saddle River RD, Fair Lawn, NJ 07410-5808
Fax
—
Last updated
November 20, 2014

Leslie Fontanez is a Physical Therapy Assistant based in Fair Lawn, NJ. Leslie Fontanez practices in Fair Lawn, NJ and has the professional credentials of PTA. The NPI Number for Leslie Fontanez is 1265839278 and holds a License No. 40QB00299400 (NJ). The current practice location address for Leslie Fontanez is 12-15 Saddle River RD, Fair Lawn, NJ 07410-5808 and can be reached out via phone at 201-797-9522.

Provider Profile Details

NPI Number
1265839278
Provider Name
Leslie Fontanez
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
12-15 Saddle River RD, Fair Lawn, NJ 07410-5808
Phone Number
201-797-9522
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 20, 2014
Last Update Date
November 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
12-15 Saddle River RD
Fair Lawn, NJ 07410-5808
Zip
07410-5808
Phone Number
201-797-9522
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
12-15 Saddle River Road
Fair Lawn, NJ 07410
City
Fair Lawn
State
NJ
Zip
07410

License Information

License Number
40QB00299400
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 Leslie Fontanez, PTA?

The NPI number of Leslie Fontanez, PTA is 1265839278. It was assigned on November 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Leslie Fontanez, PTA?

Leslie Fontanez, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00299400.

Where does Leslie Fontanez, PTA practice?

The practice location is 12-15 Saddle River RD, Fair Lawn, NJ 07410-5808. The office can be reached at 201-797-9522 (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 1265839278 directly on the NPPES registry website.

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