Active NPIIndividual provider

Sam P Depasupil, PTA

Physical Therapy Assistant in New Milford, New Jersey

NPI Number1720467020
Practice location
261 Eagle Ave, New Milford, NJ 07646-1709
Fax
—
Last updated
May 20, 2015

Sam Paguntalan Depasupil is a Physical Therapy Assistant based in New Milford, NJ. Sam Paguntalan Depasupil practices in New Milford, NJ and has the professional credentials of PTA. The NPI Number for Sam Paguntalan Depasupil is 1720467020 and holds a License No. 40QB00308200 (NJ). The current practice location address for Sam Paguntalan Depasupil is 261 Eagle Ave, New Milford, NJ 07646-1709 and can be reached out via phone at 201-851-2239.

Provider Profile Details

NPI Number
1720467020
Provider Name
Sam Paguntalan Depasupil
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
261 Eagle Ave, New Milford, NJ 07646-1709
Phone Number
201-851-2239
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 20, 2015
Last Update Date
May 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
261 Eagle Ave
New Milford, NJ 07646-1709
Zip
07646-1709
Phone Number
201-851-2239
New Milford, NJ 07646Get directions →

Provider Business Mailing Address Details

Address
261 Eagle Ave
New Milford, NJ 07646-1709
City
New Milford
State
NJ
Zip
07646-1709
Phone Number
201-851-2239

License Information

License Number (1)
40QB00308200
License State (1)
NJ
Taxonomy (1)
Physical Therapy Assistant · 225200000X · Primary
License Number (2)
009595-1
License State (2)
NY
Taxonomy (2)
Physical Therapy Assistant · 225200000X

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 Sam P Depasupil, PTA?

The NPI number of Sam P Depasupil, PTA is 1720467020. It was assigned on May 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Sam P Depasupil, PTA?

Sam P Depasupil, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00308200.

Where does Sam P Depasupil, PTA practice?

The practice location is 261 Eagle Ave, New Milford, NJ 07646-1709. The office can be reached at 201-851-2239 (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 1720467020 directly on the NPPES registry website.

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