Active NPIIndividual providerSole proprietor

Mr. Gerald P Igot, PT

Physical Therapist in Fair Lawn, New Jersey

NPI Number1316091721
Practice location
15-01 Broadway, Suite30a, Fair Lawn, NJ 07410-6003
Fax
201-703-0135
Last updated
July 8, 2007

Gerald Ponce Igot is a Physical Therapist based in Fair Lawn, NJ. Gerald Ponce Igot practices in Fair Lawn, NJ and has the professional credentials of PT. The NPI Number for Gerald Ponce Igot is 1316091721 and holds a License No. 40QA00837800 (NJ). The current practice location address for Gerald Ponce Igot is 15-01 Broadway, Suite30a, Fair Lawn, NJ 07410-6003 and can be reached out via phone at 201-703-7107 and via fax at 201-703-0135.

Provider Profile Details

NPI Number
1316091721
Provider Name
Gerald Ponce Igot
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
15-01 Broadway, Suite30a, Fair Lawn, NJ 07410-6003
Phone Number
201-703-7107
Fax Number
201-703-0135
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Broadway
Suite30a
Fair Lawn, NJ 07410-6003
Zip
07410-6003
Phone Number
201-703-7107
Fax Number
201-703-0135
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
39-37 Wenonah Dr
Fair Lawn, NJ 07410-5424
City
Fair Lawn
State
NJ
Zip
07410-5424
Phone Number
201-791-1644

License Information

License Number
40QA00837800
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 Mr. Gerald P Igot, PT?

The NPI number of Mr. Gerald P Igot, PT is 1316091721. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Gerald P Igot, PT?

Mr. Gerald P Igot, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00837800.

Where does Mr. Gerald P Igot, PT practice?

The practice location is 15-01 Broadway, Suite30a, Fair Lawn, NJ 07410-6003. The office can be reached at 201-703-7107 (phone) or 201-703-0135 (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 1316091721 directly on the NPPES registry website.

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