| Dynamic Peak Physical Therapy Pt Pta | |
|
75 Orient Way Ste 301, Rutherford, NJ 07070-2086 | |
| (201) 351-3055 | |
| (201) 351-3184 |
| Full Name | Dynamic Peak Physical Therapy Pt Pta |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 75 Orient Way Ste 301, Rutherford, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437652476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 40QA01300700 (New Jersey) | Primary |
| Provider Name | Michael D Mirabueno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962648170 PECOS PAC ID: 9234289547 Enrollment ID: I20090609000033 |
| Provider Name | Adam E Colandrea |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679805014 PECOS PAC ID: 7810151941 Enrollment ID: I20160415000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Peak Physical Therapy Pt Pta 75 Orient Way Ste 301, Rutherford, NJ 07070-2086 Ph: (201) 351-3055 | Dynamic Peak Physical Therapy Pt Pta 75 Orient Way Ste 301, Rutherford, NJ 07070-2086 Ph: (201) 351-3055 |
Professional Orthopedic And Sports Physical Therapy Of Nj, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 Orient Way, Rutherford, NJ 07070 Phone: 201-514-4900 Fax: 201-340-4141 | |
Paige Palmer, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 Orient Way, Rutherford, NJ 07070 Phone: 201-964-0200 Fax: 201-964-0220 | |
Miss Maria E Diercks, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 85 Orient Way, Rutherford, NJ 07070 Phone: 201-438-6266 | |
Kim A. Dilorenzo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Woodland Ave, Rutherford, NJ 07070 Phone: 201-306-5313 | |
Hemali Shah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 Orient Way, Rutherford, NJ 07070 Phone: 973-610-1736 | |
Mary-louise Jannicelli-clare, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 The Terrace, Rutherford, NJ 07070 Phone: 201-460-7459 | |
Emily Kathryn Holden, Physical Therapist Medicare: Medicare Enrolled Practice Location: 71 Union Ave Ste 110, Rutherford, NJ 07070 Phone: 201-636-2256 |