| Mrs Beth A Smith, PT | |
| 
					700 Passaic Ave, West Caldwell, NJ 07006-6408  | |
| (973) 575-7576 | |
| Not Available | 
| Full Name | Mrs Beth A Smith | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 700 Passaic Ave, West Caldwell, 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 | 
|---|---|---|---|
| 1083774590 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00418600 (New Jersey) | Primary | 
| Provider Name | Ippolito Rehabilitation Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1386140754 PECOS PAC ID: 5092061457 Enrollment ID: O20180627003674  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Beth A Smith, PT 83 Park Ave, Caldwell, NJ 07006-4943 Ph: (973) 403-3431  | Mrs Beth A Smith, PT 700 Passaic Ave, West Caldwell, NJ 07006-6408 Ph: (973) 575-7576  | 
Trung M Le,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Fairfield Ave, West Caldwell, NJ 07006 Phone: 973-226-1100  | |
Ghilene Joseph,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 Passaic Ave, West Caldwell, NJ 07006 Phone: 973-575-7576 Fax: 973-575-7985  | |
Melissa Holland,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1129 Bloomfield Ave, West Caldwell, NJ 07006 Phone: 973-575-7576  | |
Dr. Anil Rana, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1140 Bloomfield Avenue, Suite 100, West Caldwell, NJ 07006 Phone: 973-439-1007 Fax: 973-439-1009  | |
Mrs. Marian N Habib,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 459 Passaic Ave, West Caldwell, NJ 07006 Phone: 973-276-6700  | |
Richard Maxwell, PT. DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 760 Bloomfield Ave, West Caldwell, NJ 07006 Phone: 973-954-9190  |