| Summit Physical Therapy And Sports Care, Llc | |
|
160 Summit Ave Ste 104, Montvale, NJ 07645-1750 | |
| (201) 627-0100 | |
| (201) 746-6652 |
| Full Name | Summit Physical Therapy And Sports Care, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 160 Summit Ave Ste 104, Montvale, 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 |
|---|---|---|---|
| 1154743763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ralph Desiderio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619032059 PECOS PAC ID: 5496718181 Enrollment ID: I20041104000137 |
| Provider Name | Thomas A Hoffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528120698 PECOS PAC ID: 9436112612 Enrollment ID: I20041109000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Physical Therapy And Sports Care, Llc 160 Summit Ave Ste 104, Montvale, NJ 07645-1750 Ph: (201) 627-0100 | Summit Physical Therapy And Sports Care, Llc 160 Summit Ave Ste 104, Montvale, NJ 07645-1750 Ph: (201) 627-0100 |
Mr. Michael Kryagin, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 W Grand Ave, Montvale, NJ 07645 Phone: 201-291-8282 Fax: 201-391-8299 | |
Kellie Jean Carpenter, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Grand Ave, Montvale, NJ 07645 Phone: 201-307-9209 | |
Jennifer Yoo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Nottingham Ct, Montvale, NJ 07645 Phone: 917-554-0280 | |
Julia Lynn Perez, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 S Kinderkamack Rd Ste 208, Montvale, NJ 07645 Phone: 201-746-6577 | |
Dr. Katrina Pizzichetta, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Summit Ave, Montvale, NJ 07645 Phone: 201-775-7416 | |
Annmarie Champagne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Philips Pkwy, Montvale, NJ 07645 Phone: 201-930-8700 Fax: 201-930-8730 |