Andrew Atalla
Physical Therapist in West Orange, New Jersey
1295134468- Practice location
- 622 Eagle Rock Ave, Suit 104, West Orange, NJ 07052-2994
- Phone
- 973-669-0078
- Fax
- —
- Last updated
- February 13, 2020
Andrew Atalla is a Physical Therapist based in West Orange, NJ. Andrew Atalla practices in West Orange, NJ. The NPI Number for Andrew Atalla is 1295134468 and holds a License No. 40QB00311300 (NJ). The current practice location address for Andrew Atalla is 622 Eagle Rock Ave, Suit 104, West Orange, NJ 07052-2994 and can be reached out via phone at 973-669-0078.
Provider Profile Details
- NPI Number
- 1295134468
- Provider Name
- Andrew Atalla
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 622 Eagle Rock Ave, Suit 104, West Orange, NJ 07052-2994
- Phone Number
- 973-669-0078
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 13, 2014
- Last Update Date
- February 13, 2020
- Certification Date
- February 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622 Eagle Rock Ave
Suit 104
West Orange, NJ 07052-2994 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2994
- Phone Number
- 973-669-0078
Provider Business Mailing Address Details
- Address
- 622 Eagle Rock Ave
Suit 104
West Orange, NJ 07052-2994 - City
- West Orange
- State
- NJ
- Zip
- 07052-2994
- Phone Number
- 973-669-0078
License Information
- License Number (1)
- 40QB00311300
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- 40QA01805500
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
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 Andrew Atalla?
The NPI number of Andrew Atalla is 1295134468. It was assigned on August 13, 2014 and is currently active in the NPPES registry.
What is the specialty of Andrew Atalla?
Andrew Atalla is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QB00311300.
Where does Andrew Atalla practice?
The practice location is 622 Eagle Rock Ave, Suit 104, West Orange, NJ 07052-2994. The office can be reached at 973-669-0078 (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 1295134468 directly on the NPPES registry website.