Active NPIOrganization

Lightport Physical Therapy

Clinic/Center, Physical Therapy in Caldwell, New Jersey

NPI Number1730541335
Practice location
355 Bloomfield Ave, Caldwell, NJ 07006-5118
Fax
973-228-2311
Last updated
July 23, 2020

Lightport Physical Therapy is a healthcare organization based in Caldwell, NJ. Lightport Physical Therapy practices in Caldwell, NJ. The NPI Number for Lightport Physical Therapy is 1730541335 and holds a License No. 40QA01237600 (NJ). The current practice location address for Lightport Physical Therapy is 355 Bloomfield Ave, Caldwell, NJ 07006-5118 and can be reached out via phone at 973-228-0072 and via fax at 973-228-2311.

Provider Profile Details

NPI Number
1730541335
Provider Name
Lightport Physical Therapy
Provider Entity Type
Organization
Address
355 Bloomfield Ave, Caldwell, NJ 07006-5118
Phone Number
973-228-0072
Fax Number
973-228-2311
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Mr. John De Hoyos, DPT · Dr. Of Physical Therapy · 973-228-0072
Provider Enumeration Date
March 22, 2016
Last Update Date
July 23, 2020
Certification Date
July 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Bloomfield Ave
Caldwell, NJ 07006-5118
Zip
07006-5118
Phone Number
973-228-0072
Fax Number
973-228-2311
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
355 Bloomfield Ave
Caldwell, NJ 07006-5118
City
Caldwell
State
NJ
Zip
07006-5118
Phone Number
973-228-0072
Fax Number
073-228-2311

License Information

License Number
40QA01237600
License State
NJ
Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · 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 Lightport Physical Therapy?

The NPI number of Lightport Physical Therapy is 1730541335. It was assigned on March 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Lightport Physical Therapy?

Lightport Physical Therapy is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NJ under license number 40QA01237600.

Where does Lightport Physical Therapy practice?

The practice location is 355 Bloomfield Ave, Caldwell, NJ 07006-5118. The office can be reached at 973-228-0072 (phone) or 973-228-2311 (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 1730541335 directly on the NPPES registry website.

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