Dr Colin J Fort, DPT | |
1572 Us-206 Yates Plaza, Ste 4, Tabernacle, NJ 08088 | |
(609) 399-4396 | |
Not Available |
Full Name | Dr Colin J Fort |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1572 Us-206 Yates Plaza, Tabernacle, 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 |
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1437870391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (New Jersey) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Provider Name | Ipta Clinical, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760764484 PECOS PAC ID: 0749456119 Enrollment ID: O20120106000040 |
Mailing Address | Practice Location Address |
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Dr Colin J Fort, DPT 175 Route 70 Ste 19, Medford, NJ 08055-2355 Ph: () - | Dr Colin J Fort, DPT 1572 Us-206 Yates Plaza, Ste 4, Tabernacle, NJ 08088 Ph: (609) 399-4396 |
Erin Donoghue, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1572 Us-206, Yates Plaza, Suite 4, Tabernacle, NJ 08088 Phone: 609-388-4391 | |
Jane Gersbach, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Forest Ct, Tabernacle, NJ 08088 Phone: 609-268-9508 |