Michelle Gallardo B Encabo, PT
Physical Therapist in Newark, New Jersey
1992084867- Practice location
- 902 N 5TH St, Unit C-103, Newark, NJ 07107-4804
- Phone
- 973-732-4822
- Fax
- 973-732-4821
- Last updated
- April 10, 2017
Michelle Gallardo Bansagan Encabo is a Physical Therapist based in Newark, NJ. Michelle Gallardo Bansagan Encabo practices in Newark, NJ and has the professional credentials of PT. The NPI Number for Michelle Gallardo Bansagan Encabo is 1992084867 and holds a License No. 40QA01340100 (NJ). The current practice location address for Michelle Gallardo Bansagan Encabo is 902 N 5TH St, Unit C-103, Newark, NJ 07107-4804 and can be reached out via phone at 973-732-4822 and via fax at 973-732-4821.
Provider Profile Details
- NPI Number
- 1992084867
- Provider Name
- Michelle Gallardo Bansagan Encabo
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 902 N 5TH St, Unit C-103, Newark, NJ 07107-4804
- Phone Number
- 973-732-4822
- Fax Number
- 973-732-4821
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 10, 2011
- Last Update Date
- April 10, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 902 N 5TH St
Unit C-103
Newark, NJ 07107-4804 - City
- Newark
- State
- New Jersey
- Zip
- 07107-4804
- Phone Number
- 973-732-4822
- Fax Number
- 973-732-4821
Provider Business Mailing Address Details
- Address
- 408 Pompton Ave
Cedar Grove, NJ 07009-1813 - City
- Cedar Grove
- State
- NJ
- Zip
- 07009-1813
- Phone Number
- 973-433-0732
- Fax Number
- 973-433-0733
License Information
- License Number
- 40QA01340100
- 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 Michelle Gallardo B Encabo, PT?
The NPI number of Michelle Gallardo B Encabo, PT is 1992084867. It was assigned on August 10, 2011 and is currently active in the NPPES registry.
What is the specialty of Michelle Gallardo B Encabo, PT?
Michelle Gallardo B Encabo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01340100.
Where does Michelle Gallardo B Encabo, PT practice?
The practice location is 902 N 5TH St, Unit C-103, Newark, NJ 07107-4804. The office can be reached at 973-732-4822 (phone) or 973-732-4821 (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 1992084867 directly on the NPPES registry website.