Active NPIIndividual providerSole proprietor

Catherine J Destefano, PT

Physical Therapist in Kinnelon, New Jersey

NPI Number1356672539
Practice location
17 Kiel Ave, Kinnelon, NJ 07405-2574
Fax
973-492-5822
Last updated
January 27, 2010

Catherine Jean Destefano is a Physical Therapist based in Kinnelon, NJ. Catherine Jean Destefano practices in Kinnelon, NJ and has the professional credentials of PT. The NPI Number for Catherine Jean Destefano is 1356672539 and holds a License No. 40QA00582500 (NJ). The current practice location address for Catherine Jean Destefano is 17 Kiel Ave, Kinnelon, NJ 07405-2574 and can be reached out via phone at 973-838-3733 and via fax at 973-492-5822.

Provider Profile Details

NPI Number
1356672539
Provider Name
Catherine Jean Destefano
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
17 Kiel Ave, Kinnelon, NJ 07405-2574
Phone Number
973-838-3733
Fax Number
973-492-5822
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2010
Last Update Date
January 27, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Kiel Ave
Kinnelon, NJ 07405-2574
Zip
07405-2574
Phone Number
973-838-3733
Fax Number
973-492-5822
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
14 White Birch Ave
Pompton Plains, NJ 07444-1659
City
Pompton Plains
State
NJ
Zip
07444-1659
Phone Number
973-839-3651

License Information

License Number
40QA00582500
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 Catherine J Destefano, PT?

The NPI number of Catherine J Destefano, PT is 1356672539. It was assigned on January 27, 2010 and is currently active in the NPPES registry.

What is the specialty of Catherine J Destefano, PT?

Catherine J Destefano, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00582500.

Where does Catherine J Destefano, PT practice?

The practice location is 17 Kiel Ave, Kinnelon, NJ 07405-2574. The office can be reached at 973-838-3733 (phone) or 973-492-5822 (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 1356672539 directly on the NPPES registry website.

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