| Glenmar Nisperos, PT | |
|
17 Academy St Ste 312, Newark, NJ 07102-2934 | |
| (973) 648-6808 | |
| Not Available |
| Full Name | Glenmar Nisperos |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 17 Academy St Ste 312, Newark, 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 |
|---|---|---|---|
| 1962538470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT40QA01119400 (New Jersey) | Primary |
| Provider Name | East Coast Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417228917 PECOS PAC ID: 9931333705 Enrollment ID: O20140310000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenmar Nisperos, PT 81 Morris Ave Apt 55, Springfield, NJ 07081-1431 Ph: (973) 704-7756 | Glenmar Nisperos, PT 17 Academy St Ste 312, Newark, NJ 07102-2934 Ph: (973) 648-6808 |
Total Care Physical Therapy Center, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 119-137 Clifford St, L-3a, Newark, NJ 07105 Phone: 973-648-6808 Fax: 973-642-3516 | |
Ms. Marcia Claudette Downer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Pm&r B403, University Hospital, 150 Bergen Street, Newark, NJ 07103 Phone: 973-972-7188 Fax: 973-972-5725 | |
Peak Performance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Mcwhorter St, Newark, NJ 07105 Phone: 973-344-0012 Fax: 973-344-0898 | |
Anthony Santigate, THERAPY DIR II Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 Broad St, Newark, NJ 07102 Phone: 973-643-4969 Fax: 973-643-4573 | |
Mrs. Antonia O Christian-thompson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Bergen St, Newark, NJ 07107 Phone: 973-972-0186 | |
Ms. Laura N Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Bergen Street, Room 601, Newark, NJ 07101 Phone: 973-972-9628 | |
Dr. Magdalena Karasewicz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Bergen St, Newark, NJ 07107 Phone: 973-973-0186 Fax: 973-972-2645 |