| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 1437870391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (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 |
| Provider Name | Ipta Clinical, Llc |
|---|---|
| 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 |
|---|---|
| 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 | |
Aaron Salaga, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1572 Route 206 Ste 4, Tabernacle, NJ 08088 Phone: 609-388-4391 |