| Jag-one Physical Therapy, Llc | |
|
622 Eagle Rock Ave, West Orange, NJ 07052-2994 | |
| (973) 669-0078 | |
| (973) 669-1113 |
| Full Name | Jag-one Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 622 Eagle Rock Ave, West Orange, 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 |
|---|---|---|---|
| 1518017144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01172700 (New Jersey) | Primary |
| Provider Name | Walter A Zaulyczny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669438255 PECOS PAC ID: 5799678967 Enrollment ID: I20040203000866 |
| Provider Name | Michael R Dunne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801800065 PECOS PAC ID: 9032007489 Enrollment ID: I20040308000522 |
| Provider Name | Lynn B Simon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396763488 PECOS PAC ID: 8921996315 Enrollment ID: I20040308000776 |
| Provider Name | Kim Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184654667 PECOS PAC ID: 3476533522 Enrollment ID: I20040721000385 |
| Provider Name | Melissa R Kanter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447232319 PECOS PAC ID: 3476533225 Enrollment ID: I20040722000308 |
| Provider Name | Helene Lopa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164451001 PECOS PAC ID: 7214908441 Enrollment ID: I20040803000176 |
| Provider Name | Lawrence Nisivoccia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710049077 PECOS PAC ID: 3072585926 Enrollment ID: I20040811000039 |
| Provider Name | Cheryl Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407936990 PECOS PAC ID: 6800869819 Enrollment ID: I20040818000079 |
| Provider Name | Frank Lamorte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124108626 PECOS PAC ID: 5092788935 Enrollment ID: I20040818000348 |
| Provider Name | Kim R Minervini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275692824 PECOS PAC ID: 0840265658 Enrollment ID: I20040827000064 |
| Provider Name | Louis F Digiovine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144300856 PECOS PAC ID: 5991765687 Enrollment ID: I20041018000169 |
| Provider Name | Jaime M Cabinian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750750386 PECOS PAC ID: 3274598784 Enrollment ID: I20041124000032 |
| Provider Name | Terence E Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144376690 PECOS PAC ID: 4789641283 Enrollment ID: I20041216000317 |
| Provider Name | Markus L Manley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497827547 PECOS PAC ID: 3173581808 Enrollment ID: I20041229000014 |
| Provider Name | Shobha P Jacob |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104870765 PECOS PAC ID: 8527019272 Enrollment ID: I20050210000051 |
| Provider Name | Robert Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669475984 PECOS PAC ID: 3476590316 Enrollment ID: I20050413000062 |
| Provider Name | Ursala K Meulener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407991342 PECOS PAC ID: 4880642636 Enrollment ID: I20050523000074 |
| Provider Name | Ildiko Paulovits |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013932771 PECOS PAC ID: 2466496518 Enrollment ID: I20050705000046 |
| Provider Name | Richard T Giordano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932129764 PECOS PAC ID: 0244267250 Enrollment ID: I20050727000172 |
| Provider Name | Carolyn Watts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760580666 PECOS PAC ID: 0840228847 Enrollment ID: I20050801000528 |
| Provider Name | Maria D Ignacio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649252016 PECOS PAC ID: 8628006590 Enrollment ID: I20050801001235 |
| Provider Name | Michael A Mitacchione |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043258569 PECOS PAC ID: 2769400555 Enrollment ID: I20051130000807 |
| Provider Name | John Anthony Gallucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346314093 PECOS PAC ID: 0840212379 Enrollment ID: I20051230000138 |
| Provider Name | Jyoti Mehta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922080670 PECOS PAC ID: 9335161959 Enrollment ID: I20060112000511 |
| Provider Name | Robert J Rosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457450561 PECOS PAC ID: 3779597778 Enrollment ID: I20060209000001 |
| Provider Name | David De La Fuente |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861594111 PECOS PAC ID: 9739194820 Enrollment ID: I20060210000171 |
| Provider Name | Debra Cooke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265475529 PECOS PAC ID: 1355353871 Enrollment ID: I20060628000196 |
| Provider Name | James M Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730120940 PECOS PAC ID: 3072525492 Enrollment ID: I20060628000205 |
| Provider Name | Kelly Thacker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558386672 PECOS PAC ID: 0749293256 Enrollment ID: I20060731000409 |
| Provider Name | Karen L Barlow Lisk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316094956 PECOS PAC ID: 0244332542 Enrollment ID: I20070216000150 |
| Provider Name | Michael D Evangelist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780735316 PECOS PAC ID: 8325140999 Enrollment ID: I20070228000398 |
| Provider Name | Peggy J Ciriello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962553537 PECOS PAC ID: 5193827558 Enrollment ID: I20070305000006 |
| Provider Name | Jeanette M Casey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851450191 PECOS PAC ID: 4082710504 Enrollment ID: I20070430000527 |
| Provider Name | Carla Mcmenamy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902932981 PECOS PAC ID: 0749386142 Enrollment ID: I20070501000540 |
| Provider Name | Christian S Gartner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619190675 PECOS PAC ID: 8527166271 Enrollment ID: I20070605000157 |
| Provider Name | Amanda A Borowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154466787 PECOS PAC ID: 0941275549 Enrollment ID: I20071010000768 |
| Provider Name | David M Feniger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255382727 PECOS PAC ID: 2567542095 Enrollment ID: I20080109000427 |
| Provider Name | Leigh F Failace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407004039 PECOS PAC ID: 8527126358 Enrollment ID: I20081023000463 |
| Provider Name | Saroj H Vaidya |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447465646 PECOS PAC ID: 6406915412 Enrollment ID: I20081105000775 |
| Provider Name | Jeffrey A Rigby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619132768 PECOS PAC ID: 6204995137 Enrollment ID: I20081107000140 |
| Provider Name | David J Santamaria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639327554 PECOS PAC ID: 8325107980 Enrollment ID: I20081111000735 |
| Provider Name | Stephanie Bolebruch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447319843 PECOS PAC ID: 5799847216 Enrollment ID: I20081217000546 |
| Provider Name | Rudolph F Christopher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801927595 PECOS PAC ID: 2860556180 Enrollment ID: I20090202000411 |
| Provider Name | Matthew J Smelas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922215870 PECOS PAC ID: 7012067572 Enrollment ID: I20090604000391 |
| Provider Name | Troy S Cariaso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659545036 PECOS PAC ID: 7618029547 Enrollment ID: I20090723000302 |
| Provider Name | Michelle P Dela Rosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144398249 PECOS PAC ID: 2163576307 Enrollment ID: I20090821000448 |
| Provider Name | Konrad Roslonek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902133259 PECOS PAC ID: 8921149766 Enrollment ID: I20091230000636 |
| Provider Name | Michael R Santamaria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720187974 PECOS PAC ID: 2567408669 Enrollment ID: I20100107000389 |
| Provider Name | Catherine E Laico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326093949 PECOS PAC ID: 4587708391 Enrollment ID: I20100218000527 |
| Provider Name | Barry G Inglett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578510020 PECOS PAC ID: 1850435652 Enrollment ID: I20100218000594 |
| Provider Name | Jenny M Jordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558690412 PECOS PAC ID: 9739223173 Enrollment ID: I20100223000270 |
| Provider Name | Jeanette E Catoggio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215974456 PECOS PAC ID: 8820123631 Enrollment ID: I20100318000676 |
| Provider Name | Daniel Kane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457675977 PECOS PAC ID: 5597894436 Enrollment ID: I20100602000438 |
| Provider Name | Sean T Kane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871649392 PECOS PAC ID: 3779775879 Enrollment ID: I20101007000914 |
| Provider Name | Anne F Kane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134275670 PECOS PAC ID: 0648320044 Enrollment ID: I20101012000540 |
| Provider Name | Thomas J Trezza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114922408 PECOS PAC ID: 2466446042 Enrollment ID: I20101101001486 |
| Provider Name | Florence Nardone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871699975 PECOS PAC ID: 6103014956 Enrollment ID: I20101221000971 |
| Provider Name | Christopher Jacquet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760791685 PECOS PAC ID: 6103002506 Enrollment ID: I20110519000613 |
| Provider Name | Stephanie M Rinaldi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124326087 PECOS PAC ID: 8022295005 Enrollment ID: I20110531000036 |
| Provider Name | Dale Ambrogio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285672600 PECOS PAC ID: 2062690985 Enrollment ID: I20110624000106 |
| Provider Name | Barbara Golej Figura |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063426138 PECOS PAC ID: 7618155078 Enrollment ID: I20110707000332 |
| Provider Name | Michael J Wylykanowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457647307 PECOS PAC ID: 7416127162 Enrollment ID: I20110907001097 |
| Provider Name | Colleen A Rushmore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841246147 PECOS PAC ID: 3971776832 Enrollment ID: I20111109000693 |
| Provider Name | Justin S Solotoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265583546 PECOS PAC ID: 9234304064 Enrollment ID: I20111207000034 |
| Provider Name | Anna Palkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891719431 PECOS PAC ID: 9436324944 Enrollment ID: I20111213000026 |
| Provider Name | Kathryn A Haskins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932483500 PECOS PAC ID: 3870768013 Enrollment ID: I20111216000036 |
| Provider Name | James H Rushmore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497729917 PECOS PAC ID: 7719874791 Enrollment ID: I20111219000296 |
| Provider Name | Sara Gregg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063789428 PECOS PAC ID: 1456528264 Enrollment ID: I20120119000390 |
| Provider Name | Mary H Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356618771 PECOS PAC ID: 8628235983 Enrollment ID: I20120130000464 |
| Provider Name | Elan Araten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801113246 PECOS PAC ID: 7416114335 Enrollment ID: I20120206000066 |
| Provider Name | Cassandra Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659648376 PECOS PAC ID: 4082875430 Enrollment ID: I20120412000320 |
| Provider Name | Jason P Carelis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477812808 PECOS PAC ID: 6901069483 Enrollment ID: I20120521000106 |
| Provider Name | Renata Pac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356698849 PECOS PAC ID: 3779731278 Enrollment ID: I20120906000772 |
| Provider Name | Joseph Persico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275880676 PECOS PAC ID: 7719135680 Enrollment ID: I20120918000719 |
| Provider Name | Kristy Racz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710234505 PECOS PAC ID: 3173772043 Enrollment ID: I20121009000691 |
| Provider Name | Jennifer A Norton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508171745 PECOS PAC ID: 9739331489 Enrollment ID: I20121204000425 |
| Provider Name | Payal N Rybenok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285970202 PECOS PAC ID: 6406009828 Enrollment ID: I20130116000189 |
| Provider Name | Lindsay H Chambers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144565292 PECOS PAC ID: 9830343540 Enrollment ID: I20130205000432 |
| Provider Name | Diana Ramotowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578799466 PECOS PAC ID: 1658424635 Enrollment ID: I20130211000077 |
| Provider Name | Marissa L Bingler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962747980 PECOS PAC ID: 1355595869 Enrollment ID: I20130211000320 |
| Provider Name | Kerry J Clancy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780925701 PECOS PAC ID: 1850537630 Enrollment ID: I20130424000134 |
| Provider Name | Ambika Diwan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649431669 PECOS PAC ID: 6103081450 Enrollment ID: I20130816000517 |
| Provider Name | Rebecca Florence Moreland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376802876 PECOS PAC ID: 8224291984 Enrollment ID: I20130824000005 |
| Provider Name | Amanda L Rotondo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437584109 PECOS PAC ID: 2163657982 Enrollment ID: I20131104000935 |
| Provider Name | Michael A Wehrhahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902237977 PECOS PAC ID: 0042441230 Enrollment ID: I20140402000073 |
| Provider Name | Michael E Pomykala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578998092 PECOS PAC ID: 8224252507 Enrollment ID: I20140605001831 |
| Provider Name | Justin T Vanderhoof |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952729675 PECOS PAC ID: 8527282003 Enrollment ID: I20140624002484 |
| Provider Name | Donna C Briody |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467611814 PECOS PAC ID: 8921220484 Enrollment ID: I20141118000428 |
| Provider Name | Jaclyn E Zurlo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316346141 PECOS PAC ID: 4486976776 Enrollment ID: I20141121001632 |
| Provider Name | Jessica C Soltys |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306121066 PECOS PAC ID: 4284956087 Enrollment ID: I20141205001231 |
| Provider Name | Joshua J Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598164311 PECOS PAC ID: 2860715646 Enrollment ID: I20141231001361 |
| Provider Name | Elizabeth Zaleski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730586181 PECOS PAC ID: 8224353131 Enrollment ID: I20150218001011 |
| Provider Name | Irene S Whelan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750776035 PECOS PAC ID: 4981919818 Enrollment ID: I20150820011325 |
| Provider Name | Benigno Espeleta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306216338 PECOS PAC ID: 6305146598 Enrollment ID: I20151210000897 |
| Provider Name | Karen A Abood Bruno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104889690 PECOS PAC ID: 7517268543 Enrollment ID: I20151217000095 |
| Provider Name | Casey A Gartland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275904690 PECOS PAC ID: 1951602481 Enrollment ID: I20151229000310 |
| Provider Name | Lauren M Molinelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497125686 PECOS PAC ID: 4183928807 Enrollment ID: I20160201001007 |
| Provider Name | Gia Russo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780040774 PECOS PAC ID: 5597063743 Enrollment ID: I20160421000533 |
| Provider Name | Ryan A Trygar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720442064 PECOS PAC ID: 2860782851 Enrollment ID: I20160603000266 |
| Provider Name | David Balkan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194899013 PECOS PAC ID: 7517975972 Enrollment ID: I20160608000451 |
| Provider Name | Sarina Lavooy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073892121 PECOS PAC ID: 4183914823 Enrollment ID: I20160608000881 |
| Provider Name | Erin Polos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457729923 PECOS PAC ID: 9537450481 Enrollment ID: I20160623000713 |
| Provider Name | Ana Carolina Hidalgo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255789236 PECOS PAC ID: 4880987841 Enrollment ID: I20160728000525 |
| Provider Name | Robert Piccarillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922451509 PECOS PAC ID: 9335434992 Enrollment ID: I20160822000166 |
| Provider Name | Dina Lombardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033587100 PECOS PAC ID: 8820383409 Enrollment ID: I20160822000710 |
| Provider Name | Callista Faith Dipini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417403502 PECOS PAC ID: 6608163100 Enrollment ID: I20160927003009 |
| Provider Name | Lisa Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720534621 PECOS PAC ID: 9234427998 Enrollment ID: I20161012001117 |
| Provider Name | Mark Cristiano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154877058 PECOS PAC ID: 5496043150 Enrollment ID: I20161012001209 |
| Provider Name | Arthur Shevardnadze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164979787 PECOS PAC ID: 2769760271 Enrollment ID: I20161102002840 |
| Provider Name | Christina Might |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801342704 PECOS PAC ID: 4284912775 Enrollment ID: I20161104000085 |
| Provider Name | Sonam T Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942752191 PECOS PAC ID: 3577843663 Enrollment ID: I20161207000499 |
| Provider Name | Brian E Tababa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275076366 PECOS PAC ID: 8527340017 Enrollment ID: I20170118000130 |
| Provider Name | Justine Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609310051 PECOS PAC ID: 2860777448 Enrollment ID: I20170322000795 |
| Provider Name | Staci Wojcik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184164527 PECOS PAC ID: 5991082190 Enrollment ID: I20170425001947 |
| Provider Name | Adam Gresh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629311733 PECOS PAC ID: 1557508835 Enrollment ID: I20170620000475 |
| Provider Name | Amy Weiss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295275436 PECOS PAC ID: 7810265469 Enrollment ID: I20170622001940 |
| Provider Name | Pauline Gasparro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013446368 PECOS PAC ID: 0042580185 Enrollment ID: I20170721000963 |
| Provider Name | Carole A Andreou |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346289063 PECOS PAC ID: 4486924552 Enrollment ID: I20170721002570 |
| Provider Name | Thomas G Gardner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770703498 PECOS PAC ID: 2769573526 Enrollment ID: I20170803001011 |
| Provider Name | Craig Soriano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649790833 PECOS PAC ID: 2062783483 Enrollment ID: I20170803001894 |
| Provider Name | Jaclyn Morino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225551047 PECOS PAC ID: 9133492689 Enrollment ID: I20170905000837 |
| Provider Name | Nicolette Manoleas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841718343 PECOS PAC ID: 9739454984 Enrollment ID: I20171013002098 |
| Provider Name | Abigail Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619491099 PECOS PAC ID: 5698041812 Enrollment ID: I20171016002366 |
| Provider Name | Katharina Metrokotsas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326566886 PECOS PAC ID: 3072889070 Enrollment ID: I20171018003063 |
| Provider Name | Glenn Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881113702 PECOS PAC ID: 6406113687 Enrollment ID: I20171122002585 |
| Provider Name | Daniel M. Spinelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962914499 PECOS PAC ID: 5193083525 Enrollment ID: I20171213000163 |
| Provider Name | Erin L Dinisio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659885747 PECOS PAC ID: 5698034163 Enrollment ID: I20180109002851 |
| Provider Name | David Switay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245742964 PECOS PAC ID: 6103186622 Enrollment ID: I20180201000836 |
| Provider Name | Bryn Zolty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013423995 PECOS PAC ID: 3072873041 Enrollment ID: I20180213000342 |
| Provider Name | Taylor Pendergast |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710486774 PECOS PAC ID: 1557622099 Enrollment ID: I20180226002522 |
| Provider Name | Riddhi Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356697775 PECOS PAC ID: 5597069849 Enrollment ID: I20180228000727 |
| Provider Name | Tessa Gilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598273583 PECOS PAC ID: 9830451749 Enrollment ID: I20180313000015 |
| Provider Name | Steven D Kreh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720594807 PECOS PAC ID: 4284997420 Enrollment ID: I20180420001723 |
| Provider Name | Ashley Panowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083111991 PECOS PAC ID: 7012271539 Enrollment ID: I20180510000221 |
| Provider Name | Palak Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285125252 PECOS PAC ID: 7012263254 Enrollment ID: I20180702001374 |
| Provider Name | Donna Jo Dinorcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295211282 PECOS PAC ID: 8729337787 Enrollment ID: I20180823003231 |
| Provider Name | Laura A. Kellogg-abraham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972629616 PECOS PAC ID: 0648543975 Enrollment ID: I20180920000132 |
| Provider Name | Andrew Atalla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295134468 PECOS PAC ID: 8921359449 Enrollment ID: I20180924000085 |
| Provider Name | Michael Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699256420 PECOS PAC ID: 0244581668 Enrollment ID: I20180925001357 |
| Provider Name | Rita Sawaged |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164810743 PECOS PAC ID: 7315254760 Enrollment ID: I20181002000226 |
| Provider Name | Jacqueline Ryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396227823 PECOS PAC ID: 1456603893 Enrollment ID: I20181011002442 |
| Provider Name | Ryan Skalka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578044889 PECOS PAC ID: 1052663424 Enrollment ID: I20181012000784 |
| Provider Name | Brittany Gaske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669955829 PECOS PAC ID: 6305199621 Enrollment ID: I20181102000010 |
| Provider Name | Samantha L Dwyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972086288 PECOS PAC ID: 6204189525 Enrollment ID: I20181102000029 |
| Provider Name | Connor Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225506991 PECOS PAC ID: 6204171937 Enrollment ID: I20181227000516 |
| Provider Name | Heather Sharon Fisch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619446648 PECOS PAC ID: 3072858505 Enrollment ID: I20190102002039 |
| Provider Name | Rebecca Kovaly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518437078 PECOS PAC ID: 5890031017 Enrollment ID: I20190109001759 |
| Provider Name | Gabriella Trepper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205295029 PECOS PAC ID: 2264765536 Enrollment ID: I20190603000042 |
| Provider Name | Enrique Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770917908 PECOS PAC ID: 3678796570 Enrollment ID: I20190711000330 |
| Provider Name | Dennis Waite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861054553 PECOS PAC ID: 6800123423 Enrollment ID: I20190806000114 |
| Provider Name | Ashley Mcloughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568917276 PECOS PAC ID: 7719274216 Enrollment ID: I20190815001213 |
| Provider Name | Michael Cascio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659931954 PECOS PAC ID: 6507194743 Enrollment ID: I20190826001672 |
| Provider Name | Jess J Barsotti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710134846 PECOS PAC ID: 6204994478 Enrollment ID: I20191002001462 |
| Provider Name | Matthew Cirelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164821989 PECOS PAC ID: 3779805270 Enrollment ID: I20191022001530 |
| Provider Name | Scott Conrad Nier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639115017 PECOS PAC ID: 8527078336 Enrollment ID: I20191022002826 |
| Provider Name | Edward Zdanowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699229153 PECOS PAC ID: 9335437722 Enrollment ID: I20191028000640 |
| Provider Name | Mark Orillaza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437708849 PECOS PAC ID: 1951633478 Enrollment ID: I20191101000050 |
| Provider Name | Bhakti Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811402217 PECOS PAC ID: 3577895069 Enrollment ID: I20191104000097 |
| Provider Name | Glenn V Forsyth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225686488 PECOS PAC ID: 7911239355 Enrollment ID: I20191104002449 |
| Provider Name | Shannon E White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427606672 PECOS PAC ID: 9739411083 Enrollment ID: I20191106000496 |
| Provider Name | Richie Kumar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235787490 PECOS PAC ID: 8628400587 Enrollment ID: I20191114000326 |
| Provider Name | Jacqueline Ruggiero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457993784 PECOS PAC ID: 3476986837 Enrollment ID: I20191126001170 |
| Provider Name | Shawn Kuizema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982255386 PECOS PAC ID: 8426481730 Enrollment ID: I20191127000416 |
| Provider Name | Kathryn Willmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326681578 PECOS PAC ID: 3779916721 Enrollment ID: I20191204002194 |
| Provider Name | Dustin Passigli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720455843 PECOS PAC ID: 0749583300 Enrollment ID: I20191220000194 |
| Provider Name | Tyler Kalarjian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275179590 PECOS PAC ID: 1254765308 Enrollment ID: I20191223001395 |
| Provider Name | Andrew Matos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205484680 PECOS PAC ID: 1254765357 Enrollment ID: I20191226000547 |
| Provider Name | Juliana Pami |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669018891 PECOS PAC ID: 7315371242 Enrollment ID: I20191230001895 |
| Provider Name | Samantha Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538705892 PECOS PAC ID: 2860827136 Enrollment ID: I20200114002298 |
| Provider Name | Devan Gallucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427697432 PECOS PAC ID: 7517392426 Enrollment ID: I20200123001574 |
| Provider Name | Allison M Johansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598761611 PECOS PAC ID: 1456546431 Enrollment ID: I20200207000705 |
| Provider Name | Zachary Vatalare |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124658554 PECOS PAC ID: 3577991249 Enrollment ID: I20200311000600 |
| Provider Name | Michael Fina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033652128 PECOS PAC ID: 3173805413 Enrollment ID: I20200326002622 |
| Provider Name | Jonathan S Elias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134552110 PECOS PAC ID: 7911132428 Enrollment ID: I20200330002088 |
| Provider Name | Angelica O Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598376121 PECOS PAC ID: 3971920109 Enrollment ID: I20200902000443 |
| Provider Name | Michael Hogan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568077303 PECOS PAC ID: 0941629919 Enrollment ID: I20200925000262 |
| Provider Name | Stephanie Marie Golda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194324251 PECOS PAC ID: 1557771813 Enrollment ID: I20201028001025 |
| Provider Name | Tyler Morando |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649887928 PECOS PAC ID: 9335559434 Enrollment ID: I20201030001446 |
| Provider Name | James Mcnulty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144298357 PECOS PAC ID: 9133303779 Enrollment ID: I20201102000224 |
| Provider Name | Joseph T Gallagher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841208873 PECOS PAC ID: 0840600730 Enrollment ID: I20201104001065 |
| Provider Name | Jamie Sanfilippo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144820838 PECOS PAC ID: 9739599531 Enrollment ID: I20201106000269 |
| Provider Name | Jennifer Watt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023641859 PECOS PAC ID: 3274943071 Enrollment ID: I20201106000314 |
| Provider Name | Mikhail Beg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356940423 PECOS PAC ID: 6204247596 Enrollment ID: I20201117001913 |
| Provider Name | Jeffrey S Crispin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225044209 PECOS PAC ID: 1850702853 Enrollment ID: I20201124000024 |
| Provider Name | Bryan C Ferretta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942311766 PECOS PAC ID: 0840601845 Enrollment ID: I20201124000042 |
| Provider Name | Cynthia Anne Bilicki Nimz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447268453 PECOS PAC ID: 8921419920 Enrollment ID: I20201124000068 |
| Provider Name | Kristin Cavorley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568064558 PECOS PAC ID: 7315359379 Enrollment ID: I20201215003155 |
| Provider Name | Jeanine M Cabatu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992309785 PECOS PAC ID: 4082027602 Enrollment ID: I20201228001983 |
| Provider Name | Anthony Salvatore Costanzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285226795 PECOS PAC ID: 7517373004 Enrollment ID: I20210308002437 |
| Provider Name | Luis Carlos Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194314476 PECOS PAC ID: 8123435856 Enrollment ID: I20210325000953 |
| Provider Name | George Dudo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588260822 PECOS PAC ID: 8123435609 Enrollment ID: I20210330000319 |
| Provider Name | Sara J Lowenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841879764 PECOS PAC ID: 9638587256 Enrollment ID: I20210421000449 |
| Provider Name | Kristen Schumacher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609453471 PECOS PAC ID: 0749698223 Enrollment ID: I20210422000015 |
| Provider Name | Amanda Louise Sokoloff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164003067 PECOS PAC ID: 1951710466 Enrollment ID: I20210513002407 |
| Provider Name | Nicolas Del Valle Sanchez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720652977 PECOS PAC ID: 7315346566 Enrollment ID: I20210520002019 |
| Provider Name | Mina Mikhail |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679157119 PECOS PAC ID: 2668871500 Enrollment ID: I20210526002885 |
| Provider Name | Christopher Fasanella |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255929071 PECOS PAC ID: 1759783038 Enrollment ID: I20210708002749 |
| Provider Name | Katelyn Sheehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710490388 PECOS PAC ID: 0446510929 Enrollment ID: I20210712004209 |
| Provider Name | Emily Anne Nevola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376140327 PECOS PAC ID: 4981006988 Enrollment ID: I20210714000393 |
| Provider Name | Roli B Aurora |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558736264 PECOS PAC ID: 3678860509 Enrollment ID: I20210714001224 |
| Provider Name | Ana Cabrera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205481959 PECOS PAC ID: 4486985991 Enrollment ID: I20210716000033 |
| Provider Name | Kevin Silva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396313029 PECOS PAC ID: 8628470358 Enrollment ID: I20210716001768 |
| Provider Name | Joseph Anthony Santigate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154933869 PECOS PAC ID: 5597184846 Enrollment ID: I20210721001074 |
| Provider Name | Marie Robison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720654429 PECOS PAC ID: 9638572852 Enrollment ID: I20210726003786 |
| Provider Name | Eric Fichera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831667286 PECOS PAC ID: 2466785670 Enrollment ID: I20210804002221 |
| Provider Name | Lauren Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104497379 PECOS PAC ID: 8022412592 Enrollment ID: I20210805000187 |
| Provider Name | Christopher S Pinkerton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952424863 PECOS PAC ID: 2264836766 Enrollment ID: I20210805001310 |
| Provider Name | Jonathan Kronenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215279815 PECOS PAC ID: 6507005170 Enrollment ID: I20210824001859 |
| Provider Name | Alfred Raccuia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134556392 PECOS PAC ID: 2264757384 Enrollment ID: I20210902002860 |
| Provider Name | Thomas O'sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649944059 PECOS PAC ID: 3072919604 Enrollment ID: I20210908001161 |
| Provider Name | Jillian Galindo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861169013 PECOS PAC ID: 1759787856 Enrollment ID: I20210914002871 |
| Provider Name | Dante S Searcy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457029282 PECOS PAC ID: 0345646485 Enrollment ID: I20210915000562 |
| Provider Name | Daniel E Melon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942975156 PECOS PAC ID: 3274939335 Enrollment ID: I20210915001342 |
| Provider Name | Eva C Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215602586 PECOS PAC ID: 4486051323 Enrollment ID: I20210921000364 |
| Provider Name | Milana Gilaga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902572043 PECOS PAC ID: 7517364466 Enrollment ID: I20210921000579 |
| Provider Name | David Perez Herranz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932386729 PECOS PAC ID: 7517042336 Enrollment ID: I20210924000911 |
| Provider Name | Jennifer Worrall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154095602 PECOS PAC ID: 6901203462 Enrollment ID: I20210927000059 |
| Provider Name | Matthew Joseph Tinnirella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619641701 PECOS PAC ID: 8820495161 Enrollment ID: I20210929000513 |
| Provider Name | Selina Delgado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588334635 PECOS PAC ID: 2466859715 Enrollment ID: I20210929000947 |
| Provider Name | Imani Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356018337 PECOS PAC ID: 6608273958 Enrollment ID: I20210929001126 |
| Provider Name | Rachel Marie Coley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053086884 PECOS PAC ID: 5092113225 Enrollment ID: I20211001001675 |
| Provider Name | Tracy Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942228218 PECOS PAC ID: 8921003252 Enrollment ID: I20211001002147 |
| Provider Name | Emily Kaminski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023785813 PECOS PAC ID: 3870991763 Enrollment ID: I20211006003569 |
| Provider Name | Tori Butchin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508538166 PECOS PAC ID: 2567860216 Enrollment ID: I20211011000351 |
| Provider Name | Tara Elizabeth Connelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770252132 PECOS PAC ID: 1658779251 Enrollment ID: I20211012003554 |
| Provider Name | Anisha S Jain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285950519 PECOS PAC ID: 2961688601 Enrollment ID: I20211014000175 |
| Provider Name | Sarah A Novak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548867708 PECOS PAC ID: 2860803343 Enrollment ID: I20211015000181 |
| Provider Name | Ryan Kennelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669142352 PECOS PAC ID: 3476941287 Enrollment ID: I20211028000365 |
| Provider Name | Rebecca Jean Romano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265109540 PECOS PAC ID: 9335537158 Enrollment ID: I20211028000588 |
| Provider Name | Margaret Webster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912307398 PECOS PAC ID: 2860714979 Enrollment ID: I20211110000336 |
| Provider Name | Zachary Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093135857 PECOS PAC ID: 6002245941 Enrollment ID: I20211122002874 |
| Provider Name | Eriko Takatsuki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518636943 PECOS PAC ID: 8820488570 Enrollment ID: I20211213000035 |
| Provider Name | Eric Ginzburg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922677764 PECOS PAC ID: 8921499351 Enrollment ID: I20211220001099 |
| Provider Name | Yash Doshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811655988 PECOS PAC ID: 1951793694 Enrollment ID: I20220110001259 |
| Provider Name | Shraddha Wagh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013677889 PECOS PAC ID: 4082008685 Enrollment ID: I20220224001847 |
| Provider Name | Joelle Manganella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790437119 PECOS PAC ID: 3072907609 Enrollment ID: I20220225000078 |
| Provider Name | Angel J Torres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073273843 PECOS PAC ID: 8921493461 Enrollment ID: I20220318000851 |
| Provider Name | Alexander Thomas Lunsmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457006124 PECOS PAC ID: 4587059662 Enrollment ID: I20220329000013 |
| Provider Name | Ma Christina Pillora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144587171 PECOS PAC ID: 3971768235 Enrollment ID: I20220331002217 |
| Provider Name | Ria Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881342244 PECOS PAC ID: 3476949330 Enrollment ID: I20220404000029 |
| Provider Name | Gianna Pepe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487301180 PECOS PAC ID: 4183010903 Enrollment ID: I20220404002792 |
| Provider Name | Nicolas Simmonds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699421495 PECOS PAC ID: 2062808603 Enrollment ID: I20220406002366 |
| Provider Name | Riddhi Chheda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013534007 PECOS PAC ID: 7517379225 Enrollment ID: I20220407001765 |
| Provider Name | Charmi Y Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992317267 PECOS PAC ID: 7517353782 Enrollment ID: I20220416000056 |
| Provider Name | Timothy Ryan Holland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972272680 PECOS PAC ID: 0547657702 Enrollment ID: I20220419000600 |
| Provider Name | Patricia Bonatakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306595582 PECOS PAC ID: 7810384997 Enrollment ID: I20220419001969 |
| Provider Name | Renee Sheppard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720736721 PECOS PAC ID: 5092102863 Enrollment ID: I20220426000040 |
| Provider Name | Christian San Pedro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235877804 PECOS PAC ID: 9931588639 Enrollment ID: I20220627003363 |
| Provider Name | Mansi Agarwal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891211884 PECOS PAC ID: 9830462688 Enrollment ID: I20220628002989 |
| Provider Name | Madeline Holtz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497494702 PECOS PAC ID: 3072993658 Enrollment ID: I20220629002880 |
| Provider Name | Christina Trajkoski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336888924 PECOS PAC ID: 4587044086 Enrollment ID: I20220630000121 |
| Provider Name | Ashley Hilaire Dubreus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407585979 PECOS PAC ID: 0749661460 Enrollment ID: I20220713000089 |
| Provider Name | Kristen Helen Byars |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508599028 PECOS PAC ID: 7618358854 Enrollment ID: I20220719001110 |
| Provider Name | Margarita Munoz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114656899 PECOS PAC ID: 1355722455 Enrollment ID: I20220721000069 |
| Provider Name | Bianca Victoria Arena |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669107868 PECOS PAC ID: 3971985235 Enrollment ID: I20220803000114 |
| Provider Name | Matthew V Gillane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972781169 PECOS PAC ID: 7719360387 Enrollment ID: I20220815000604 |
| Provider Name | Giselle Oriendo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780709915 PECOS PAC ID: 1456734987 Enrollment ID: I20220817000562 |
| Provider Name | Danielle Marie Saitta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073241352 PECOS PAC ID: 1052795903 Enrollment ID: I20220826001546 |
| Provider Name | Erica Balsamo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770203473 PECOS PAC ID: 2466837133 Enrollment ID: I20220915002658 |
| Provider Name | Kyrillos Hany Barsoum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245950187 PECOS PAC ID: 8325424542 Enrollment ID: I20220926001764 |
| Provider Name | Justin Delgado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285354878 PECOS PAC ID: 0648656736 Enrollment ID: I20220927001688 |
| Provider Name | Aditi Kadakia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558080648 PECOS PAC ID: 8820474950 Enrollment ID: I20220927003114 |
| Provider Name | Michael Gary Lanigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194445064 PECOS PAC ID: 9032595087 Enrollment ID: I20220929000344 |
| Provider Name | Jessica Lynn Lukaszek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962170670 PECOS PAC ID: 1153797006 Enrollment ID: I20221018000147 |
| Provider Name | Darya Dronov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730643859 PECOS PAC ID: 7012240211 Enrollment ID: I20221021001135 |
| Provider Name | Rachel Secemski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023221090 PECOS PAC ID: 4385010792 Enrollment ID: I20221026000334 |
| Provider Name | Cecille Canimo Augusta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417365388 PECOS PAC ID: 3577939966 Enrollment ID: I20221027000344 |
| Provider Name | Cole John Cusanelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902524309 PECOS PAC ID: 2860869104 Enrollment ID: I20221031000461 |
| Provider Name | Kevin Mansfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700503968 PECOS PAC ID: 8921476292 Enrollment ID: I20221116003367 |
| Provider Name | Akshi Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992224877 PECOS PAC ID: 4284990193 Enrollment ID: I20221122003603 |
| Provider Name | Yekaterina Ferraro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265140230 PECOS PAC ID: 0547638496 Enrollment ID: I20221124000121 |
| Provider Name | Raphael Moreno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013625938 PECOS PAC ID: 1355719204 Enrollment ID: I20221125000037 |
| Provider Name | Lacey Janelle-richy Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376264101 PECOS PAC ID: 6800264649 Enrollment ID: I20221129000080 |
| Provider Name | Dimitrios A Telonis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588381289 PECOS PAC ID: 6709255763 Enrollment ID: I20221214000013 |
| Provider Name | Gianna Vassallo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538878111 PECOS PAC ID: 7416326111 Enrollment ID: I20221219001614 |
| Provider Name | Zachary Paul Rossi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013626431 PECOS PAC ID: 2062882475 Enrollment ID: I20221229001866 |
| Provider Name | Nicholas Arcabascio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316618572 PECOS PAC ID: 0749688265 Enrollment ID: I20230125000428 |
| Provider Name | Caitlin Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285148460 PECOS PAC ID: 9537530639 Enrollment ID: I20230128000138 |
| Provider Name | Katherine Albright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437529971 PECOS PAC ID: 4183925274 Enrollment ID: I20230130000705 |
| Provider Name | Holly Mcbrearty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033822424 PECOS PAC ID: 4284006966 Enrollment ID: I20230206001962 |
| Provider Name | Devin Douvier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568173755 PECOS PAC ID: 3274905831 Enrollment ID: I20230207003103 |
| Provider Name | Kimberly Cullen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487790671 PECOS PAC ID: 9638541105 Enrollment ID: I20230209000713 |
| Provider Name | Rosalind Cox Larrieux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437236924 PECOS PAC ID: 2365537347 Enrollment ID: I20230214001900 |
| Provider Name | Anna Trotta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992397491 PECOS PAC ID: 6608284666 Enrollment ID: I20230307001261 |
| Provider Name | Reynaldo De Vera Estuesta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528284320 PECOS PAC ID: 8820462534 Enrollment ID: I20230321000681 |
| Provider Name | Gilberto C Pereirinha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336857838 PECOS PAC ID: 2860866506 Enrollment ID: I20230321001883 |
| Provider Name | Adam Busch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457051583 PECOS PAC ID: 6901270586 Enrollment ID: I20230322000767 |
| Provider Name | Joseph William Ashton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831898337 PECOS PAC ID: 5799159224 Enrollment ID: I20230323000307 |
| Provider Name | Alyssa Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568161545 PECOS PAC ID: 9234503590 Enrollment ID: I20230328001923 |
| Provider Name | Irm Choudary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154023240 PECOS PAC ID: 0840665451 Enrollment ID: I20230413001272 |
| Provider Name | Emma A Magierski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417658667 PECOS PAC ID: 5799150181 Enrollment ID: I20230418000366 |
| Provider Name | Joseph Fullum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396378824 PECOS PAC ID: 0648636043 Enrollment ID: I20230509002268 |
| Provider Name | Nicole Adeyemi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659062743 PECOS PAC ID: 6901265255 Enrollment ID: I20230705000327 |
| Provider Name | Courtney Spurlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184316192 PECOS PAC ID: 8921469388 Enrollment ID: I20230801003239 |
| Provider Name | Olutoyin E Aboderin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639854995 PECOS PAC ID: 6002277241 Enrollment ID: I20230803001973 |
| Provider Name | Unknown Sharon Sajan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487331559 PECOS PAC ID: 4880056514 Enrollment ID: I20230814000494 |
| Provider Name | Brianna Mcinerney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003599796 PECOS PAC ID: 4688036858 Enrollment ID: I20230821000702 |
| Provider Name | Aneri Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194392209 PECOS PAC ID: 5890193239 Enrollment ID: I20230905000144 |
| Provider Name | Chad Joseph Dortu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033624549 PECOS PAC ID: 5496118630 Enrollment ID: I20230906000146 |
| Provider Name | Madison Vukicevich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376326801 PECOS PAC ID: 8426412461 Enrollment ID: I20230911000983 |
| Provider Name | Francesco Totino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417554817 PECOS PAC ID: 6103237177 Enrollment ID: I20230913000123 |
| Provider Name | Jason Angellano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821872557 PECOS PAC ID: 1658735923 Enrollment ID: I20230920000021 |
| Provider Name | Brandon Chorzelewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598548067 PECOS PAC ID: 4082068804 Enrollment ID: I20230928000548 |
| Provider Name | Robert Springer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629854476 PECOS PAC ID: 5395199814 Enrollment ID: I20231002001903 |
| Provider Name | Victoria Dobkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821875196 PECOS PAC ID: 6204281264 Enrollment ID: I20231011000695 |
| Provider Name | Nicole Shatsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235850058 PECOS PAC ID: 1658748090 Enrollment ID: I20231013001293 |
| Provider Name | Christine Delorenzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942902440 PECOS PAC ID: 1052766763 Enrollment ID: I20231016003338 |
| Provider Name | Megan Jannicelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962185249 PECOS PAC ID: 7911353925 Enrollment ID: I20231027000905 |
| Provider Name | Amanda Poulakowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164205423 PECOS PAC ID: 7113373143 Enrollment ID: I20231027001845 |
| Provider Name | Matthew Mariani |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245368463 PECOS PAC ID: 8628115896 Enrollment ID: I20231103000563 |
| Provider Name | Kyle Greve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386327039 PECOS PAC ID: 3274980453 Enrollment ID: I20231109000820 |
| Provider Name | Mark Roufaeal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518744267 PECOS PAC ID: 8527415678 Enrollment ID: I20231110000222 |
| Provider Name | Nefatari S Ellis-marin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629576285 PECOS PAC ID: 7012267164 Enrollment ID: I20231110000536 |
| Provider Name | Rachel Abill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508639147 PECOS PAC ID: 9032567201 Enrollment ID: I20231128003580 |
| Provider Name | John Cvitkovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558349779 PECOS PAC ID: 4082600333 Enrollment ID: I20231130003883 |
| Provider Name | Lisa Tate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922875178 PECOS PAC ID: 7618327552 Enrollment ID: I20231219001544 |
| Provider Name | Briana Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588439715 PECOS PAC ID: 4486004199 Enrollment ID: I20231221000362 |
| Provider Name | Linda Atta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639727407 PECOS PAC ID: 7416382114 Enrollment ID: I20231228001897 |
| Provider Name | Ziwei Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093584765 PECOS PAC ID: 8022469410 Enrollment ID: I20240110002317 |
| Provider Name | Stephen Gentry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275300485 PECOS PAC ID: 8527419720 Enrollment ID: I20240112000381 |
| Provider Name | Sarah Beth Kelner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235605742 PECOS PAC ID: 5698128072 Enrollment ID: I20240201002315 |
| Provider Name | Joshua Naiman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275395840 PECOS PAC ID: 5698110146 Enrollment ID: I20240223003957 |
| Provider Name | Aastha Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679151567 PECOS PAC ID: 4880002880 Enrollment ID: I20240307001497 |
| Provider Name | Tanvi Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053918474 PECOS PAC ID: 5193115764 Enrollment ID: I20240314002094 |
| Mailing Address | Practice Location Address |
|---|---|
| Jag-one Physical Therapy, Llc 622 Eagle Rock Ave, West Orange, NJ 07052-2994 Ph: (973) 669-0078 | Jag-one Physical Therapy, Llc 622 Eagle Rock Ave, West Orange, NJ 07052-2994 Ph: (973) 669-0078 |
Elizabeth Caputo, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-6940 Fax: 973-243-6967 | |
David Currie King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6842 | |
Dr. Sandra Wojciehowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Raphael Moreno, Physical Therapist Medicare: Medicare Enrolled Practice Location: 622 Eagle Rock Ave, West Orange, NJ 07052 Phone: 973-669-0078 | |
Jaceline D Dejean, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Pleasant Valley Way, West Orange, NJ 07052 Phone: 862-520-4027 | |
Abigail Reid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Ms. Leslie Prendergast, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Manger Rd, West Orange, NJ 07052 Phone: 973-736-7121 |