Dynamic Peak Physical Therapy PT Pta
Physical Therapist in Rutherford, New Jersey
1437652476- Practice location
- 75 Orient Way Ste 301, Rutherford, NJ 07070-2086
- Phone
- 201-351-3055
- Fax
- 201-351-3184
- Last updated
- July 22, 2022
Dynamic Peak Physical Therapy PT Pta is a healthcare organization based in Rutherford, NJ. Dynamic Peak Physical Therapy PT Pta practices in Rutherford, NJ. The NPI Number for Dynamic Peak Physical Therapy PT Pta is 1437652476 and holds a License No. 40QA01300700 (NJ). The current practice location address for Dynamic Peak Physical Therapy PT Pta is 75 Orient Way Ste 301, Rutherford, NJ 07070-2086 and can be reached out via phone at 201-351-3055 and via fax at 201-351-3184.
Provider Profile Details
- NPI Number
- 1437652476
- Provider Name
- Dynamic Peak Physical Therapy PT Pta
- Provider Entity Type
- Organization
- Address
- 75 Orient Way Ste 301, Rutherford, NJ 07070-2086
- Phone Number
- 201-351-3055
- Fax Number
- 201-351-3184
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- No
- Authorized Official
- Michael Derilo Mirabueno, DPT · President · 732-407-6308
- Provider Enumeration Date
- March 15, 2018
- Last Update Date
- July 22, 2022
- Certification Date
- July 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Orient Way Ste 301
Rutherford, NJ 07070-2086 - City
- Rutherford
- State
- New Jersey
- Zip
- 07070-2086
- Phone Number
- 201-351-3055
- Fax Number
- 201-351-3184
Provider Business Mailing Address Details
- Address
- 75 Orient Way Ste 301
Rutherford, NJ 07070-2086 - City
- Rutherford
- State
- NJ
- Zip
- 07070-2086
- Phone Number
- 201-351-3055
- Fax Number
- 201-351-3184
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Acupuncturist · 171100000X
- License Number (3)
- 40QA01300700
- License State (3)
- NJ
- Taxonomy (3)
- 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 Dynamic Peak Physical Therapy PT Pta?
The NPI number of Dynamic Peak Physical Therapy PT Pta is 1437652476. It was assigned on March 15, 2018 and is currently active in the NPPES registry.
What is the specialty of Dynamic Peak Physical Therapy PT Pta?
Dynamic Peak Physical Therapy PT Pta is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01300700.
Where does Dynamic Peak Physical Therapy PT Pta practice?
The practice location is 75 Orient Way Ste 301, Rutherford, NJ 07070-2086. The office can be reached at 201-351-3055 (phone) or 201-351-3184 (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 1437652476 directly on the NPPES registry website.