Active NPIIndividual provider

Maria Petrongolo, DPT

Physical Therapist in Blackwood, New Jersey

NPI Number1700469707
Practice location
151 Fries Mill RD Ste 1, Blackwood, NJ 08012-2016
Fax
856-374-3708
Last updated
July 10, 2021

Maria Petrongolo is a Physical Therapist based in Blackwood, NJ. Maria Petrongolo practices in Blackwood, NJ and has the professional credentials of DPT. The NPI Number for Maria Petrongolo is 1700469707 and holds a License No. 40QA01957700 (NJ). The current practice location address for Maria Petrongolo is 151 Fries Mill RD Ste 1, Blackwood, NJ 08012-2016 and can be reached out via phone at 856-374-3707 and via fax at 856-374-3708.

Provider Profile Details

NPI Number
1700469707
Provider Name
Maria Petrongolo
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
151 Fries Mill RD Ste 1, Blackwood, NJ 08012-2016
Phone Number
856-374-3707
Fax Number
856-374-3708
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2021
Last Update Date
July 10, 2021
Certification Date
July 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Fries Mill RD Ste 1
Blackwood, NJ 08012-2016
Zip
08012-2016
Phone Number
856-374-3707
Fax Number
856-374-3708
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
151 Fries Mill RD Ste 1
Turnersville, NJ 08012-2016
City
Turnersville
State
NJ
Zip
08012-2016
Phone Number
856-374-3707
Fax Number
856-374-3708

License Information

License Number
40QA01957700
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 Maria Petrongolo, DPT?

The NPI number of Maria Petrongolo, DPT is 1700469707. It was assigned on April 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Maria Petrongolo, DPT?

Maria Petrongolo, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01957700.

Where does Maria Petrongolo, DPT practice?

The practice location is 151 Fries Mill RD Ste 1, Blackwood, NJ 08012-2016. The office can be reached at 856-374-3707 (phone) or 856-374-3708 (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 1700469707 directly on the NPPES registry website.

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