Active NPIIndividual provider

Dr. Heidi A Quackenboss, DPT

Physical Therapist, Orthopedic in West Caldwell, New Jersey

NPI Number1548405772
Practice location
700 Passaic Ave, West Caldwell, NJ 07006-6408
Fax
973-575-7985
Last updated
December 2, 2008

Heidi A. Quackenboss is a Physical Therapist, Orthopedic based in West Caldwell, NJ. Heidi A. Quackenboss practices in West Caldwell, NJ and has the professional credentials of DPT. The NPI Number for Heidi A. Quackenboss is 1548405772 and holds a License No. 40QA01298900 (NJ). The current practice location address for Heidi A. Quackenboss is 700 Passaic Ave, West Caldwell, NJ 07006-6408 and can be reached out via phone at 973-575-7576 and via fax at 973-575-7985.

Provider Profile Details

NPI Number
1548405772
Provider Name
Heidi A. Quackenboss
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
700 Passaic Ave, West Caldwell, NJ 07006-6408
Phone Number
973-575-7576
Fax Number
973-575-7985
Primary Taxonomy
Physical Therapist, Orthopedic · 2251X0800X
Sole Proprietor
No
Provider Enumeration Date
December 2, 2008
Last Update Date
December 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Passaic Ave
West Caldwell, NJ 07006-6408
Zip
07006-6408
Phone Number
973-575-7576
Fax Number
973-575-7985
West Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
415 Claremont Ave Apt 1C
Montclair, NJ 07042-1815
City
Montclair
State
NJ
Zip
07042-1815
Phone Number
973-233-1312

License Information

License Number (1)
40QA01298900
License State (1)
NJ
Taxonomy (1)
Physical Therapist, Sports · 2251S0007X
License Number (2)
40QA01298900
License State (2)
NJ
Taxonomy (2)
Physical Therapist, Orthopedic · 2251X0800X · 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 Dr. Heidi A Quackenboss, DPT?

The NPI number of Dr. Heidi A Quackenboss, DPT is 1548405772. It was assigned on December 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Heidi A Quackenboss, DPT?

Dr. Heidi A Quackenboss, DPT is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in NJ under license number 40QA01298900.

Where does Dr. Heidi A Quackenboss, DPT practice?

The practice location is 700 Passaic Ave, West Caldwell, NJ 07006-6408. The office can be reached at 973-575-7576 (phone) or 973-575-7985 (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 1548405772 directly on the NPPES registry website.

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