Active NPIIndividual providerSole proprietor

Brendon M Spencer, DPT

Physical Therapy Assistant in West Caldwell, New Jersey

NPI Number1699443739
Practice location
700 Passaic Ave, West Caldwell, NJ 07006-6408
Fax
973-532-4820
Last updated
September 2, 2021

Brendon M Spencer is a Physical Therapy Assistant based in West Caldwell, NJ. Brendon M Spencer practices in West Caldwell, NJ and has the professional credentials of DPT. The NPI Number for Brendon M Spencer is 1699443739 and holds a License No. 40QB00388300 (NJ). The current practice location address for Brendon M Spencer is 700 Passaic Ave, West Caldwell, NJ 07006-6408 and can be reached out via phone at 973-685-4805 and via fax at 973-532-4820.

Provider Profile Details

NPI Number
1699443739
Provider Name
Brendon M Spencer
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
700 Passaic Ave, West Caldwell, NJ 07006-6408
Phone Number
973-685-4805
Fax Number
973-532-4820
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
September 2, 2021
Last Update Date
September 2, 2021
Certification Date
September 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Passaic Ave
West Caldwell, NJ 07006-6408
Zip
07006-6408
Phone Number
973-685-4805
Fax Number
973-532-4820
West Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License Number
40QB00388300
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Brendon M Spencer, DPT?

The NPI number of Brendon M Spencer, DPT is 1699443739. It was assigned on September 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Brendon M Spencer, DPT?

Brendon M Spencer, DPT is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00388300.

Where does Brendon M Spencer, DPT practice?

The practice location is 700 Passaic Ave, West Caldwell, NJ 07006-6408. The office can be reached at 973-685-4805 (phone) or 973-532-4820 (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 1699443739 directly on the NPPES registry website.

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