Vanessa Medina, PT
Physical Therapist in Wayne, New Jersey
1720119712- Practice location
- 701 Hamburg Tpke, Wayne, NJ 07470-2098
- Phone
- 973-636-6550
- Fax
- —
- Last updated
- July 8, 2007
Vanessa Medina is a Physical Therapist based in Wayne, NJ. Vanessa Medina practices in Wayne, NJ and has the professional credentials of PT. The NPI Number for Vanessa Medina is 1720119712 and holds a License No. 40qa01190900 (NJ). The current practice location address for Vanessa Medina is 701 Hamburg Tpke, Wayne, NJ 07470-2098 and can be reached out via phone at 973-636-6550.
Provider Profile Details
- NPI Number
- 1720119712
- Provider Name
- Vanessa Medina
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 701 Hamburg Tpke, Wayne, NJ 07470-2098
- Phone Number
- 973-636-6550
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 8, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 701 Hamburg Tpke
Wayne, NJ 07470-2098 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-2098
- Phone Number
- 973-636-6550
Provider Business Mailing Address Details
- Address
- 26 Huron Ave
Clifton, NJ 07013-2909 - City
- Clifton
- State
- NJ
- Zip
- 07013-2909
License Information
- License Number
- 40qa01190900
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Vanessa Medina, PT?
The NPI number of Vanessa Medina, PT is 1720119712. It was assigned on March 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Vanessa Medina, PT?
Vanessa Medina, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40qa01190900.
Where does Vanessa Medina, PT practice?
The practice location is 701 Hamburg Tpke, Wayne, NJ 07470-2098. The office can be reached at 973-636-6550 (phone).
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 1720119712 directly on the NPPES registry website.