Raven Loftus, PT, DPT
Physical Therapist in Whiting, New Jersey
1790406122- Practice location
- 63 Lacey RD Ste H, Whiting, NJ 08759-2966
- Phone
- 732-716-0111
- Fax
- 732-716-0114
- Last updated
- August 16, 2023
Raven Loftus is a Physical Therapist based in Whiting, NJ. Raven Loftus practices in Whiting, NJ and has the professional credentials of PT, DPT. The NPI Number for Raven Loftus is 1790406122 and holds a License No. 40QA02112800 (NJ). The current practice location address for Raven Loftus is 63 Lacey RD Ste H, Whiting, NJ 08759-2966 and can be reached out via phone at 732-716-0111 and via fax at 732-716-0114.
Provider Profile Details
- NPI Number
- 1790406122
- Provider Name
- Raven Loftus
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 63 Lacey RD Ste H, Whiting, NJ 08759-2966
- Phone Number
- 732-716-0111
- Fax Number
- 732-716-0114
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- Raven Thomas, PT, DPT (Former Name)
- Provider Enumeration Date
- September 5, 2022
- Last Update Date
- August 16, 2023
- Certification Date
- August 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 Lacey RD Ste H
Whiting, NJ 08759-2966 - City
- Whiting
- State
- New Jersey
- Zip
- 08759-2966
- Phone Number
- 732-716-0111
- Fax Number
- 732-716-0114
Provider Business Mailing Address Details
- Address
- 11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167 - City
- East Hanover
- State
- NJ
- Zip
- 07936-3167
- Phone Number
- 973-887-9000
- Fax Number
- 973-887-3816
License Information
- License Number
- 40QA02112800
- 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 Raven Loftus, PT, DPT?
The NPI number of Raven Loftus, PT, DPT is 1790406122. It was assigned on September 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Raven Loftus, PT, DPT?
Raven Loftus, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02112800.
Where does Raven Loftus, PT, DPT practice?
The practice location is 63 Lacey RD Ste H, Whiting, NJ 08759-2966. The office can be reached at 732-716-0111 (phone) or 732-716-0114 (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 1790406122 directly on the NPPES registry website.