Elliott Luty, DPT
Physical Therapist in River Edge, New Jersey
1407303647- Practice location
- 530 Kinderkamack RD, River Edge, NJ 07661-2140
- Phone
- 201-523-9207
- Fax
- 201-523-9208
- Last updated
- January 14, 2020
Elliott Luty is a Physical Therapist based in River Edge, NJ. Elliott Luty practices in River Edge, NJ and has the professional credentials of DPT. The NPI Number for Elliott Luty is 1407303647 and holds a License No. 40QA01683800 (NJ). The current practice location address for Elliott Luty is 530 Kinderkamack RD, River Edge, NJ 07661-2140 and can be reached out via phone at 201-523-9207 and via fax at 201-523-9208.
Provider Profile Details
- NPI Number
- 1407303647
- Provider Name
- Elliott Luty
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 530 Kinderkamack RD, River Edge, NJ 07661-2140
- Phone Number
- 201-523-9207
- Fax Number
- 201-523-9208
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 6, 2016
- Last Update Date
- January 14, 2020
- Certification Date
- January 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 530 Kinderkamack RD
River Edge, NJ 07661-2140 - City
- River Edge
- State
- New Jersey
- Zip
- 07661-2140
- Phone Number
- 201-523-9207
- Fax Number
- 201-523-9208
Provider Business Mailing Address Details
- Address
- 2142 Utopia Pkwy
Whitestone, NY 11357-4142 - City
- Whitestone
- State
- NY
- Zip
- 11357-4142
- Phone Number
- 718-819-6805
- Fax Number
- 347-841-9109
License Information
- License Number
- 40QA01683800
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Elliott Luty, DPT?
The NPI number of Elliott Luty, DPT is 1407303647. It was assigned on September 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Elliott Luty, DPT?
Elliott Luty, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01683800.
Where does Elliott Luty, DPT practice?
The practice location is 530 Kinderkamack RD, River Edge, NJ 07661-2140. The office can be reached at 201-523-9207 (phone) or 201-523-9208 (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 1407303647 directly on the NPPES registry website.