Mary-Louise Jannicelli-Clare, PT
Physical Therapist in Rutherford, New Jersey
1275696411- Practice location
- 21 The Terrace, Rutherford, NJ 07070
- Phone
- 201-460-7459
- Fax
- —
- Last updated
- May 12, 2016
Mary-Louise Jannicelli-Clare is a Physical Therapist based in Rutherford, NJ. Mary-Louise Jannicelli-Clare practices in Rutherford, NJ and has the professional credentials of PT. The NPI Number for Mary-Louise Jannicelli-Clare is 1275696411 and holds a License No. 40QA00419300 (NJ). The current practice location address for Mary-Louise Jannicelli-Clare is 21 The Terrace, Rutherford, NJ 07070 and can be reached out via phone at 201-460-7459.
Provider Profile Details
- NPI Number
- 1275696411
- Provider Name
- Mary-Louise Jannicelli-Clare
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 The Terrace, Rutherford, NJ 07070
- Phone Number
- 201-460-7459
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- -- Mary-Louise Jannicelli, PT (Professional Name)
- Provider Enumeration Date
- December 19, 2006
- Last Update Date
- May 12, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 The Terrace
Rutherford, NJ 07070 - City
- Rutherford
- State
- New Jersey
- Zip
- 07070
- Phone Number
- 201-460-7459
Provider Business Mailing Address Details
- Address
- 264 Boyden Ave
Maplewood, NJ 07040-3070 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3070
- Phone Number
- 973-761-0764
- Fax Number
- 973-761-0112
License Information
- License Number
- 40QA00419300
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Rutherford, NJ
View all Physical Therapists in Rutherford →Frequently Asked Questions
What is the NPI number of Mary-Louise Jannicelli-Clare, PT?
The NPI number of Mary-Louise Jannicelli-Clare, PT is 1275696411. It was assigned on December 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary-Louise Jannicelli-Clare, PT?
Mary-Louise Jannicelli-Clare, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00419300.
Where does Mary-Louise Jannicelli-Clare, PT practice?
The practice location is 21 The Terrace, Rutherford, NJ 07070. The office can be reached at 201-460-7459 (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 1275696411 directly on the NPPES registry website.