Active NPIIndividual provider

Dr. Leonard R Disla, DPT

Physical Therapist, Orthopedic in Eatontown, New Jersey

NPI Number1962787085
Practice location
246 Industrial Way W, Eatontown, NJ 07724-4240
Fax
—
Last updated
September 18, 2018

Leonard R Disla is a Physical Therapist, Orthopedic based in Eatontown, NJ. Leonard R Disla practices in Eatontown, NJ and has the professional credentials of DPT. The NPI Number for Leonard R Disla is 1962787085 and holds a License No. 40QA01349800 (NJ). The current practice location address for Leonard R Disla is 246 Industrial Way W, Eatontown, NJ 07724-4240 and can be reached out via phone at 732-455-2724.

Provider Profile Details

NPI Number
1962787085
Provider Name
Leonard R Disla
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
246 Industrial Way W, Eatontown, NJ 07724-4240
Phone Number
732-455-2724
Primary Taxonomy
Physical Therapist, Orthopedic · 2251X0800X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2011
Last Update Date
September 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
246 Industrial Way W
Eatontown, NJ 07724-4240
Zip
07724-4240
Phone Number
732-455-2724
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
246 Industrial Way W
Eatontown, NJ 07724-4240
City
Eatontown
State
NJ
Zip
07724-4240
Phone Number
732-455-2724

License Information

License Number
40QA01349800
License State
NJ
Taxonomy
Physical Therapist, Orthopedic · 2251X0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapist, Orthopedic providers near Eatontown, NJ

View all Physical Therapist, Orthopedic providers in Eatontown →

Frequently Asked Questions

What is the NPI number of Dr. Leonard R Disla, DPT?

The NPI number of Dr. Leonard R Disla, DPT is 1962787085. It was assigned on October 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Leonard R Disla, DPT?

Dr. Leonard R Disla, DPT is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in NJ under license number 40QA01349800.

Where does Dr. Leonard R Disla, DPT practice?

The practice location is 246 Industrial Way W, Eatontown, NJ 07724-4240. The office can be reached at 732-455-2724 (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 1962787085 directly on the NPPES registry website.

Browse related providers