Active NPIIndividual providerSole proprietor

Mrs. Petra P Edmunds, PT

Physical Therapist in Livingston, New Jersey

NPI Number1346457728
Practice location
600 S Livingston Ave, Suite 210, Livingston, NJ 07039-5419
Fax
—
Last updated
July 8, 2007

Petra Purdona Edmunds is a Physical Therapist based in Livingston, NJ. Petra Purdona Edmunds practices in Livingston, NJ and has the professional credentials of PT. The NPI Number for Petra Purdona Edmunds is 1346457728 and holds a License No. PT40QA00726400 (NJ). The current practice location address for Petra Purdona Edmunds is 600 S Livingston Ave, Suite 210, Livingston, NJ 07039-5419 and can be reached out via phone at 800-530-3247.

Provider Profile Details

NPI Number
1346457728
Provider Name
Petra Purdona Edmunds
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
600 S Livingston Ave, Suite 210, Livingston, NJ 07039-5419
Phone Number
800-530-3247
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 S Livingston Ave
Suite 210
Livingston, NJ 07039-5419
Zip
07039-5419
Phone Number
800-530-3247
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
83 Dewitt Ave
Belleville, NJ 07109-2507
City
Belleville
State
NJ
Zip
07109-2507
Phone Number
973-759-6477

License Information

License Number
PT40QA00726400
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 Mrs. Petra P Edmunds, PT?

The NPI number of Mrs. Petra P Edmunds, PT is 1346457728. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Petra P Edmunds, PT?

Mrs. Petra P Edmunds, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number PT40QA00726400.

Where does Mrs. Petra P Edmunds, PT practice?

The practice location is 600 S Livingston Ave, Suite 210, Livingston, NJ 07039-5419. The office can be reached at 800-530-3247 (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 1346457728 directly on the NPPES registry website.

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