Active NPIIndividual provider

Evan Hathaway, DPT

Physical Therapist in Woodstown, New Jersey

NPI Number1871088765
Practice location
84 E Grant St Ste 3, Woodstown, NJ 08098-1400
Fax
856-769-4637
Last updated
June 25, 2018

Evan Hathaway is a Physical Therapist based in Woodstown, NJ. Evan Hathaway practices in Woodstown, NJ and has the professional credentials of DPT. The NPI Number for Evan Hathaway is 1871088765 and holds a License No. 40QA01795800 (NJ). The current practice location address for Evan Hathaway is 84 E Grant St Ste 3, Woodstown, NJ 08098-1400 and can be reached out via phone at 856-769-4564 and via fax at 856-769-4637.

Provider Profile Details

NPI Number
1871088765
Provider Name
Evan Hathaway
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
84 E Grant St Ste 3, Woodstown, NJ 08098-1400
Phone Number
856-769-4564
Fax Number
856-769-4637
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2018
Last Update Date
June 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
84 E Grant St Ste 3
Woodstown, NJ 08098-1400
Zip
08098-1400
Phone Number
856-769-4564
Fax Number
856-769-4637
Woodstown, NJ 08098Get directions →

Provider Business Mailing Address Details

Address
Po Box 146
Woodstown, NJ 08098-0146
City
Woodstown
State
NJ
Zip
08098-0146
Phone Number
856-769-4564
Fax Number
856-769-4637

License Information

License Number
40QA01795800
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Evan Hathaway, DPT?

The NPI number of Evan Hathaway, DPT is 1871088765. It was assigned on June 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Evan Hathaway, DPT?

Evan Hathaway, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01795800.

Where does Evan Hathaway, DPT practice?

The practice location is 84 E Grant St Ste 3, Woodstown, NJ 08098-1400. The office can be reached at 856-769-4564 (phone) or 856-769-4637 (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 1871088765 directly on the NPPES registry website.

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