Active NPIIndividual provider

Alexander T Miscannon

Physical Therapist in Riverton, New Jersey

NPI Number1750939799
Practice location
600 Main St, Ste 8, Riverton, NJ 08077-1400
Fax
—
Last updated
September 3, 2021

Alexander T Miscannon is a Physical Therapist based in Riverton, NJ. Alexander T Miscannon practices in Riverton, NJ. The NPI Number for Alexander T Miscannon is 1750939799 and holds a License No. 40QA01942800 (NJ). The current practice location address for Alexander T Miscannon is 600 Main St, Ste 8, Riverton, NJ 08077-1400 and can be reached out via phone at 856-360-5630.

Provider Profile Details

NPI Number
1750939799
Provider Name
Alexander T Miscannon
Provider Entity Type
Individual
Gender
Male
Address
600 Main St, Ste 8, Riverton, NJ 08077-1400
Phone Number
856-360-5630
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 3, 2019
Last Update Date
September 3, 2021
Certification Date
September 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 Main St
Ste 8
Riverton, NJ 08077-1400
Zip
08077-1400
Phone Number
856-360-5630
Riverton, NJ 08077Get directions →

Provider Business Mailing Address Details

Address
600 Main St Ste 8
Riverton, NJ 08077-1400
City
Riverton
State
NJ
Zip
08077-1400
Phone Number
856-360-5630
Fax Number
610-933-3376

License Information

License Number (1)
40QA01942800
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
PT028019
License State (2)
PA
Taxonomy (2)
Physical Therapist · 225100000X

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 Alexander T Miscannon?

The NPI number of Alexander T Miscannon is 1750939799. It was assigned on September 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Alexander T Miscannon?

Alexander T Miscannon is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01942800.

Where does Alexander T Miscannon practice?

The practice location is 600 Main St, Ste 8, Riverton, NJ 08077-1400. The office can be reached at 856-360-5630 (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 1750939799 directly on the NPPES registry website.

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