| Richard Maxwell, PT DPT | |
|
760 Bloomfield Ave, West Caldwell, NJ 07006-6710 | |
| (973) 954-9190 | |
| Not Available |
| Full Name | Richard Maxwell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 760 Bloomfield 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 |
|---|---|---|---|
| 1174249569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01901000 (New Jersey) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Maxwell, PT DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (973) 584-3192 | Richard Maxwell, PT DPT 760 Bloomfield Ave, West Caldwell, NJ 07006-6710 Ph: (973) 954-9190 |
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 | |
Mrs. Beth A. Smith, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Passaic Ave, West Caldwell, NJ 07006 Phone: 973-575-7576 | |
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 |