Active NPIOrganization

Pediatric Therapy Practitioners, PA

Clinic/Center, Physical Therapy in Millburn, New Jersey

NPI Number1578834263
Practice location
187 Millburn Ave, Suite 110, Millburn, NJ 07041-1847
Fax
—
Last updated
January 26, 2012

Pediatric Therapy Practitioners, PA is a healthcare organization based in Millburn, NJ. Pediatric Therapy Practitioners, PA practices in Millburn, NJ. The NPI Number for Pediatric Therapy Practitioners, PA is 1578834263 and holds a License No. 40QA00333800 (NJ). The current practice location address for Pediatric Therapy Practitioners, PA is 187 Millburn Ave, Suite 110, Millburn, NJ 07041-1847 and can be reached out via phone at 973-467-7976.

Provider Profile Details

NPI Number
1578834263
Provider Name
Pediatric Therapy Practitioners, PA
Provider Entity Type
Organization
Address
187 Millburn Ave, Suite 110, Millburn, NJ 07041-1847
Phone Number
973-467-7976
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Dr. Maureen Broderick Wilhelm, DPT · Owner/Physical Therapist · 973-467-7976
Provider Enumeration Date
January 26, 2012
Last Update Date
January 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 Millburn Ave
Suite 110
Millburn, NJ 07041-1847
Zip
07041-1847
Phone Number
973-467-7976
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
187 Millburn Ave
Suite 110
Millburn, NJ 07041-1847
City
Millburn
State
NJ
Zip
07041-1847
Phone Number
973-467-7976

License Information

License Number
40QA00333800
License State
NJ
Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · 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 Pediatric Therapy Practitioners, PA?

The NPI number of Pediatric Therapy Practitioners, PA is 1578834263. It was assigned on January 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Pediatric Therapy Practitioners, PA?

Pediatric Therapy Practitioners, PA is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NJ under license number 40QA00333800.

Where does Pediatric Therapy Practitioners, PA practice?

The practice location is 187 Millburn Ave, Suite 110, Millburn, NJ 07041-1847. The office can be reached at 973-467-7976 (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 1578834263 directly on the NPPES registry website.

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