| Jackson Leal, PT, DPT | |
|
51 S Main St, Neptune, NJ 07753-5032 | |
| (732) 443-3721 | |
| (732) 733-2641 |
| Full Name | Jackson Leal |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 51 S Main St, Neptune, 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 |
|---|---|---|---|
| 1265205918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02258900 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Leal, PT, DPT 51 S Main St, Neptune, NJ 07753-5032 Ph: (732) 443-3721 | Jackson Leal, PT, DPT 51 S Main St, Neptune, NJ 07753-5032 Ph: (732) 443-3721 |
Brian Walch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 6th Ave, Neptune, NJ 07753 Phone: 732-897-1174 | |
Mrs. Janice Marie Xenakis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 526 S Riverside Dr, Neptune, NJ 07753 Phone: 908-461-1817 Fax: 732-612-1298 | |
David L Monteleone, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hackensack Meridian Rehabilitation At Neptune, 2100 Route 33, Suite 2, Neptune, NJ 07753 Phone: 732-776-4558 Fax: 732-776-4181 | |
Barbara Carreira, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3455 State Route 66, Neptune, NJ 07753 Phone: 732-643-0098 | |
Robyn Korsen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3455 State Route 66, Neptune, NJ 07753 Phone: 732-643-0098 | |
Mr. Brian Melvin Mullins, MS., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 788 Wayside Rd, Neptune, NJ 07753 Phone: 732-922-6618 Fax: 732-922-6619 |