Active NPIIndividual provider

Trevor Fennell

Physical Therapist in Ridgewood, New Jersey

NPI Number1619904125
Practice location
127 Union St, Suite 105, Ridgewood, NJ 07450-4478
Fax
201-444-5101
Last updated
July 8, 2007

Trevor Fennell is a Physical Therapist based in Ridgewood, NJ. Trevor Fennell practices in Ridgewood, NJ. The NPI Number for Trevor Fennell is 1619904125 and holds a License No. 40QA00907400 (NJ). The current practice location address for Trevor Fennell is 127 Union St, Suite 105, Ridgewood, NJ 07450-4478 and can be reached out via phone at 201-444-4447 and via fax at 201-444-5101.

Provider Profile Details

NPI Number
1619904125
Provider Name
Trevor Fennell
Provider Entity Type
Individual
Gender
Male
Address
127 Union St, Suite 105, Ridgewood, NJ 07450-4478
Phone Number
201-444-4447
Fax Number
201-444-5101
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Union St
Suite 105
Ridgewood, NJ 07450-4478
Zip
07450-4478
Phone Number
201-444-4447
Fax Number
201-444-5101
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
127 Union St
Suite 105
Ridgewood, NJ 07450
City
Ridgewood
State
NJ
Zip
07450
Phone Number
201-444-4447
Fax Number
201-444-5101

License Information

License Number
40QA00907400
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.

Other Physical Therapists near Ridgewood, NJ

View all Physical Therapists in Ridgewood →

Frequently Asked Questions

What is the NPI number of Trevor Fennell?

The NPI number of Trevor Fennell is 1619904125. It was assigned on June 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Trevor Fennell?

Trevor Fennell is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00907400.

Where does Trevor Fennell practice?

The practice location is 127 Union St, Suite 105, Ridgewood, NJ 07450-4478. The office can be reached at 201-444-4447 (phone) or 201-444-5101 (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 1619904125 directly on the NPPES registry website.

Browse related providers