Active NPIIndividual provider

Mr. Dan Liss, DPT

Physical Therapist in Sewell, New Jersey

NPI Number1710043484
Practice location
14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2661
Fax
856-265-8390
Last updated
July 25, 2018

Dan Liss is a Physical Therapist based in Sewell, NJ. Dan Liss practices in Sewell, NJ and has the professional credentials of DPT. The NPI Number for Dan Liss is 1710043484 and holds a License No. 40QA00902500 (NJ). The current practice location address for Dan Liss is 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2661 and can be reached out via phone at 856-256-8393 and via fax at 856-265-8390.

Provider Profile Details

NPI Number
1710043484
Provider Name
Dan Liss
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2661
Phone Number
856-256-8393
Fax Number
856-265-8390
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 28, 2006
Last Update Date
July 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Parke Place Blvd
Suite D
Sewell, NJ 08080-2661
City
Sewell
Zip
08080-2661
Phone Number
856-256-8393
Fax Number
856-265-8390
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
22 Alton Way
Sewell, NJ 08080-3114
City
Sewell
State
NJ
Zip
08080-3114
Phone Number
856-381-7721

License Information

License Number (1)
40QA00902500
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
40QA00902500
License State (2)
NJ
Taxonomy (2)
Physical Therapist, Orthopedic · 2251X0800X

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 Mr. Dan Liss, DPT?

The NPI number of Mr. Dan Liss, DPT is 1710043484. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Dan Liss, DPT?

Mr. Dan Liss, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00902500.

Where does Mr. Dan Liss, DPT practice?

The practice location is 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2661. The office can be reached at 856-256-8393 (phone) or 856-265-8390 (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 1710043484 directly on the NPPES registry website.

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