Active NPIIndividual provider

Devon A Fanelli, PT, DPT

Physical Therapist in Clifton, New Jersey

NPI Number1598013633
Practice location
1135 Broad Street, Clifton, NJ 07013
Fax
973-574-8590
Last updated
August 21, 2012

Devon Anne Fanelli is a Physical Therapist based in Clifton, NJ. Devon Anne Fanelli practices in Clifton, NJ and has the professional credentials of PT, DPT. The NPI Number for Devon Anne Fanelli is 1598013633 and holds a License No. 40QA01449900 (NJ). The current practice location address for Devon Anne Fanelli is 1135 Broad Street, Clifton, NJ 07013 and can be reached out via phone at 973-574-8585 and via fax at 973-574-8590.

Provider Profile Details

NPI Number
1598013633
Provider Name
Devon Anne Fanelli
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
1135 Broad Street, Clifton, NJ 07013
Phone Number
973-574-8585
Fax Number
973-574-8590
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2012
Last Update Date
August 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Broad Street
Clifton, NJ 07013
Zip
07013
Phone Number
973-574-8585
Fax Number
973-574-8590
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1135 Broad Street
Clifton, NJ 07013
City
Clifton
State
NJ
Zip
07013
Phone Number
973-574-8585
Fax Number
973-574-8590

License Information

License Number
40QA01449900
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 Devon A Fanelli, PT, DPT?

The NPI number of Devon A Fanelli, PT, DPT is 1598013633. It was assigned on August 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Devon A Fanelli, PT, DPT?

Devon A Fanelli, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01449900.

Where does Devon A Fanelli, PT, DPT practice?

The practice location is 1135 Broad Street, Clifton, NJ 07013. The office can be reached at 973-574-8585 (phone) or 973-574-8590 (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 1598013633 directly on the NPPES registry website.

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