Active NPIIndividual providerSole proprietor

Mrs. Tracy L Dibease, PT

Physical Therapist in Voorhees, New Jersey

NPI Number1467574681
Practice location
13 Hazel Ave, Voorhees, NJ 08043-3423
Fax
—
Last updated
April 22, 2013

Tracy Lee Dibease is a Physical Therapist based in Voorhees, NJ. Tracy Lee Dibease practices in Voorhees, NJ and has the professional credentials of PT. The NPI Number for Tracy Lee Dibease is 1467574681 and holds a License No. 40QA00670800 (NJ). The current practice location address for Tracy Lee Dibease is 13 Hazel Ave, Voorhees, NJ 08043-3423 and can be reached out via phone at 609-929-9600.

Provider Profile Details

NPI Number
1467574681
Provider Name
Tracy Lee Dibease
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
13 Hazel Ave, Voorhees, NJ 08043-3423
Phone Number
609-929-9600
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2007
Last Update Date
April 22, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Hazel Ave
Voorhees, NJ 08043-3423
Zip
08043-3423
Phone Number
609-929-9600
Voorhees, NJ 08043Get directions →

Provider Business Mailing Address Details

Address
13 Hazel Ave
Voorhees, NJ 08043-3423
City
Voorhees
State
NJ
Zip
08043-3423
Phone Number
609-929-9600

License Information

License Number
40QA00670800
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 Mrs. Tracy L Dibease, PT?

The NPI number of Mrs. Tracy L Dibease, PT is 1467574681. It was assigned on April 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tracy L Dibease, PT?

Mrs. Tracy L Dibease, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00670800.

Where does Mrs. Tracy L Dibease, PT practice?

The practice location is 13 Hazel Ave, Voorhees, NJ 08043-3423. The office can be reached at 609-929-9600 (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 1467574681 directly on the NPPES registry website.

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