Active NPIIndividual provider

Ms. Melissa Deantonio, PT

Physical Therapist in Mount Laurel, New Jersey

NPI Number1356496616
Practice location
4000 Church RD, Mount Laurel, NJ 08054-1110
Fax
856-222-4733
Last updated
March 7, 2017

Melissa Deantonio is a Physical Therapist based in Mount Laurel, NJ. Melissa Deantonio practices in Mount Laurel, NJ and has the professional credentials of PT. The NPI Number for Melissa Deantonio is 1356496616 and holds a License No. 40QA01059400 (NJ). The current practice location address for Melissa Deantonio is 4000 Church RD, Mount Laurel, NJ 08054-1110 and can be reached out via phone at 856-222-4444 and via fax at 856-222-4733.

Provider Profile Details

NPI Number
1356496616
Provider Name
Melissa Deantonio
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
4000 Church RD, Mount Laurel, NJ 08054-1110
Phone Number
856-222-4444
Fax Number
856-222-4733
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2007
Last Update Date
March 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
4000 Church RD
Mount Laurel, NJ 08054-1110
Zip
08054-1110
Phone Number
856-222-4444
Fax Number
856-222-4733
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
City
Islandia
State
NY
Zip
11749-5258
Phone Number
856-222-4444
Fax Number
856-222-4733

License Information

License Number
40QA01059400
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 Ms. Melissa Deantonio, PT?

The NPI number of Ms. Melissa Deantonio, PT is 1356496616. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Melissa Deantonio, PT?

Ms. Melissa Deantonio, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01059400.

Where does Ms. Melissa Deantonio, PT practice?

The practice location is 4000 Church RD, Mount Laurel, NJ 08054-1110. The office can be reached at 856-222-4444 (phone) or 856-222-4733 (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 1356496616 directly on the NPPES registry website.

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