Active NPIIndividual providerSole proprietor

Ms. Renata Tatgenhorst, DPT

Physical Therapist in Old Bridge, New Jersey

NPI Number1356698849
Practice location
254 Texas RD, Old Bridge, NJ 08857-4008
Fax
—
Last updated
July 20, 2022

Renata Tatgenhorst is a Physical Therapist based in Old Bridge, NJ. Renata Tatgenhorst practices in Old Bridge, NJ and has the professional credentials of DPT. The NPI Number for Renata Tatgenhorst is 1356698849 and holds a License No. 048742 (NY). The current practice location address for Renata Tatgenhorst is 254 Texas RD, Old Bridge, NJ 08857-4008 and can be reached out via phone at 732-561-3401.

Provider Profile Details

NPI Number
1356698849
Provider Name
Renata Tatgenhorst
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
254 Texas RD, Old Bridge, NJ 08857-4008
Phone Number
732-561-3401
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Other Names
Renata Pac (Former Name)
Provider Enumeration Date
August 14, 2012
Last Update Date
July 20, 2022
Certification Date
July 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
254 Texas RD
Old Bridge, NJ 08857-4008
Zip
08857-4008
Phone Number
732-561-3401
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
981 US Highway 22 Fl 2
Bridgewater, NJ 08807-2946
City
Bridgewater
State
NJ
Zip
08807-2946
Phone Number
201-801-7141

License Information

License Number (1)
048742
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01456200
License State (2)
NJ
Taxonomy (2)
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. Renata Tatgenhorst, DPT?

The NPI number of Ms. Renata Tatgenhorst, DPT is 1356698849. It was assigned on August 14, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Renata Tatgenhorst, DPT?

Ms. Renata Tatgenhorst, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 048742.

Where does Ms. Renata Tatgenhorst, DPT practice?

The practice location is 254 Texas RD, Old Bridge, NJ 08857-4008. The office can be reached at 732-561-3401 (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 1356698849 directly on the NPPES registry website.

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