Active NPIIndividual provider

Tyler Fontan, PT

Physical Therapist in Montclair, New Jersey

NPI Number1326792292
Practice location
15 Bloomfield Ave, Montclair, NJ 07042-4888
Fax
—
Last updated
February 9, 2022

Tyler Fontan is a Physical Therapist based in Montclair, NJ. Tyler Fontan practices in Montclair, NJ and has the professional credentials of PT. The NPI Number for Tyler Fontan is 1326792292 and holds a License No. 40QA02071500 (NJ). The current practice location address for Tyler Fontan is 15 Bloomfield Ave, Montclair, NJ 07042-4888 and can be reached out via phone at 973-744-2770.

Provider Profile Details

NPI Number
1326792292
Provider Name
Tyler Fontan
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
15 Bloomfield Ave, Montclair, NJ 07042-4888
Phone Number
973-744-2770
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2022
Last Update Date
February 9, 2022
Certification Date
February 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Bloomfield Ave
Montclair, NJ 07042-4888
Zip
07042-4888
Phone Number
973-744-2770
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
15 Bloomfield Ave
Montclair, NJ 07042-4888
City
Montclair
State
NJ
Zip
07042-4888
Phone Number
973-744-2770

License Information

License Number
40QA02071500
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 Tyler Fontan, PT?

The NPI number of Tyler Fontan, PT is 1326792292. It was assigned on February 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Tyler Fontan, PT?

Tyler Fontan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02071500.

Where does Tyler Fontan, PT practice?

The practice location is 15 Bloomfield Ave, Montclair, NJ 07042-4888. The office can be reached at 973-744-2770 (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 1326792292 directly on the NPPES registry website.

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