Active NPIIndividual providerSole proprietor

Mr. Innocent U Rwakonda, PHYSICAL THERAPIST

Physical Therapist in Montague, New Jersey

NPI Number1386790467
Practice location
218A Shore Drive, Montague, NJ 07827-0263
Fax
973-293-8351
Last updated
July 8, 2007

Innocent Urayai Rwakonda is a Physical Therapist based in Montague, NJ. Innocent Urayai Rwakonda practices in Montague, NJ and has the professional credentials of PHYSICAL THERAPIST. The NPI Number for Innocent Urayai Rwakonda is 1386790467 and holds a License No. PT010414L (PA). The current practice location address for Innocent Urayai Rwakonda is 218A Shore Drive, Montague, NJ 07827-0263 and can be reached out via phone at 973-293-8351 and via fax at 973-293-8351.

Provider Profile Details

NPI Number
1386790467
Provider Name
Innocent Urayai Rwakonda
Credential
PHYSICAL THERAPIST
Provider Entity Type
Individual
Gender
Male
Address
218A Shore Drive, Montague, NJ 07827-0263
Phone Number
973-293-8351
Fax Number
973-293-8351
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
218A Shore Drive
Montague, NJ 07827-0263
Zip
07827-0263
Phone Number
973-293-8351
Fax Number
973-293-8351
Montague, NJ 07827Get directions →

Provider Business Mailing Address Details

Address
Po Box 1263
Montague, NJ 07827-0263
City
Montague
State
NJ
Zip
07827-0263
Phone Number
973-293-8351
Fax Number
973-293-8351

License Information

License Number
PT010414L
License State
PA
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 Mr. Innocent U Rwakonda, PHYSICAL THERAPIST?

The NPI number of Mr. Innocent U Rwakonda, PHYSICAL THERAPIST is 1386790467. It was assigned on January 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Innocent U Rwakonda, PHYSICAL THERAPIST?

Mr. Innocent U Rwakonda, PHYSICAL THERAPIST is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in PA under license number PT010414L.

Where does Mr. Innocent U Rwakonda, PHYSICAL THERAPIST practice?

The practice location is 218A Shore Drive, Montague, NJ 07827-0263. The office can be reached at 973-293-8351 (phone) or 973-293-8351 (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 1386790467 directly on the NPPES registry website.

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