| Atlas Physical Therapy | |
|
405 Northfield Avenue, Suite 200, West Orange, NJ 07052-3023 | |
| (973) 325-7212 | |
| (973) 325-7214 |
| Full Name | Atlas Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 405 Northfield Avenue, West Orange, 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 |
|---|---|---|---|
| 1881760627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00442100 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 40QA00442100NJ (New Jersey) | Primary |
| Provider Name | Tsambikos A Dimitrakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487687646 PECOS PAC ID: 9133131006 Enrollment ID: I20060907000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Physical Therapy 405 Northfield Avenue, Suite 200, West Orange, NJ 07052-3023 Ph: (973) 325-7212 | Atlas Physical Therapy 405 Northfield Avenue, Suite 200, West Orange, NJ 07052-3023 Ph: (973) 325-7212 |
Elizabeth Caputo, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-6940 Fax: 973-243-6967 | |
David Currie King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6842 | |
Dr. Sandra Wojciehowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Raphael Moreno, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 Eagle Rock Ave, West Orange, NJ 07052 Phone: 973-669-0078 | |
Jaceline D Dejean, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Pleasant Valley Way, West Orange, NJ 07052 Phone: 862-520-4027 | |
Abigail Reid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Ms. Leslie Prendergast, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Manger Rd, West Orange, NJ 07052 Phone: 973-736-7121 |