| Mile High Physical Therapy Professional Corporation | |
|
321 Changebridge Rd, Pine Brook, NJ 07058-9583 | |
| (973) 396-8585 | |
| (973) 396-8587 |
| Full Name | Mile High Physical Therapy Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 321 Changebridge Rd, Pine Brook, 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 |
|---|---|---|---|
| 1730665662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Eric Stivers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982837423 PECOS PAC ID: 1052459740 Enrollment ID: I20091118000208 |
| Provider Name | Kevin C Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558837732 PECOS PAC ID: 2860736634 Enrollment ID: I20181205001013 |
| Provider Name | Matthew Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730556549 PECOS PAC ID: 9335488402 Enrollment ID: I20190307001126 |
| Provider Name | Demetrios Rotsides |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063975399 PECOS PAC ID: 3678806668 Enrollment ID: I20190606000414 |
| Provider Name | Rachael A Harding |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861990293 PECOS PAC ID: 4486916673 Enrollment ID: I20201007002096 |
| Provider Name | Andrew J Yudd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063009504 PECOS PAC ID: 7214340397 Enrollment ID: I20210111000143 |
| Provider Name | Anthony M Fano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902633282 PECOS PAC ID: 4587195128 Enrollment ID: I20241007001650 |
| Mailing Address | Practice Location Address |
|---|---|
| Mile High Physical Therapy Professional Corporation 321 Changebridge Rd, Pine Brook, NJ 07058-9583 Ph: (973) 396-8585 | Mile High Physical Therapy Professional Corporation 321 Changebridge Rd, Pine Brook, NJ 07058-9583 Ph: (973) 396-8585 |
Dr. Casey Hasenbein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-396-8585 Fax: 973-396-8587 | |
Lauren Michelle Cirule, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 263 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-575-1112 Fax: 973-575-1369 | |
Dr. Paige Elizabeth Dwight Dickman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 43 Us Highway 46 Ste 706, Pine Brook, NJ 07058 Phone: 973-556-8465 | |
Dr. Cara Jenson, PT, DPT, EP-C Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 Konner Ave, Pine Brook, NJ 07058 Phone: 973-865-8925 | |
Dr. Anthony Fano, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 321 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-396-8585 Fax: 973-396-8587 | |
Dr. Eric W Stivers, PT,DPT,OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-396-8585 Fax: 973-396-8587 |