Active NPIIndividual provider

Eric R Theriault, PT, DPT

Physical Therapist in Egg Harbor Township, New Jersey

NPI Number1295289957
Practice location
3121 Fire RD Ste D, Egg Harbor Township, NJ 08234-9619
Fax
732-855-9755
Last updated
March 2, 2020

Eric R Theriault is a Physical Therapist based in Egg Harbor Township, NJ. Eric R Theriault practices in Egg Harbor Township, NJ and has the professional credentials of PT, DPT. The NPI Number for Eric R Theriault is 1295289957 and holds a License No. 40QA01695000 (NJ). The current practice location address for Eric R Theriault is 3121 Fire RD Ste D, Egg Harbor Township, NJ 08234-9619 and can be reached out via phone at 609-377-8881 and via fax at 732-855-9755.

Provider Profile Details

NPI Number
1295289957
Provider Name
Eric R Theriault
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
3121 Fire RD Ste D, Egg Harbor Township, NJ 08234-9619
Phone Number
609-377-8881
Fax Number
732-855-9755
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2016
Last Update Date
March 2, 2020
Certification Date
March 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3121 Fire RD Ste D
Egg Harbor Township, NJ 08234-9619
Zip
08234-9619
Phone Number
609-377-8881
Fax Number
732-855-9755
Egg Harbor Township, NJ 08234Get 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
40QA01695000
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Eric R Theriault, PT, DPT?

The NPI number of Eric R Theriault, PT, DPT is 1295289957. It was assigned on August 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Eric R Theriault, PT, DPT?

Eric R Theriault, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01695000.

Where does Eric R Theriault, PT, DPT practice?

The practice location is 3121 Fire RD Ste D, Egg Harbor Township, NJ 08234-9619. The office can be reached at 609-377-8881 (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 1295289957 directly on the NPPES registry website.

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