| Carlos Komlan Donou, PT, DPT | |
|
21 Cyprus Ln Apt A, Old Bridge, NJ 08857-2071 | |
| (732) 609-3798 | |
| Not Available |
| Full Name | Carlos Komlan Donou |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 21 Cyprus Ln Apt A, Old Bridge, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902545015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02089700 (New Jersey) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sportsmed Pt Llc | 0749535805 | 180 |
| Provider Name | Pursue Physical Therapy & Performance Training |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871962175 PECOS PAC ID: 9830463009 Enrollment ID: O20170927000787 |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Provider Name | Function Forward Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760057947 PECOS PAC ID: 8224431887 Enrollment ID: O20210721000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Komlan Donou, PT, DPT 21 Cyprus Ln Apt A, Old Bridge, NJ 08857-2071 Ph: (732) 609-3798 | Carlos Komlan Donou, PT, DPT 21 Cyprus Ln Apt A, Old Bridge, NJ 08857-2071 Ph: (732) 609-3798 |
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