| Maryan Nader Wicker, DPT | |
|
626 Ridge Rd, Lyndhurst, NJ 07071-3206 | |
| (201) 372-3240 | |
| Not Available |
| Full Name | Maryan Nader Wicker |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 626 Ridge Rd, Lyndhurst, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053704080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01602700 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | P20298 (North Carolina) | Primary |
| Provider Name | Proactive Therapy Of North Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669432175 PECOS PAC ID: 9537076401 Enrollment ID: O20161201002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryan Nader Wicker, DPT 9933 Travertine Trl, Davidson, NC 28036-7654 Ph: (551) 221-1983 | Maryan Nader Wicker, DPT 626 Ridge Rd, Lyndhurst, NJ 07071-3206 Ph: (201) 372-3240 |
Patricia Castle, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 70 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-933-9959 Fax: 201-933-9958 | |
Kimberly Afordakos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 418 Lewandowski St, Lyndhurst, NJ 07071 Phone: 201-933-9959 Fax: 201-933-9958 | |
Ms. Angela L Santiago, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 623 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-340-4656 | |
Mrs. Erin Marie Ross, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 624 Page Ave, Lyndhurst, NJ 07071 Phone: 201-531-1430 | |
Mr. Allen Rene Arcilla Tupue, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 626 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-372-3240 | |
Luke Ziaya, Physical Therapist Medicare: Medicare Enrolled Practice Location: 70 Ridge Rd, Lyndhurst, NJ 07071 Phone: 201-933-9959 Fax: 201-933-9958 |