| Jag-one Physical Therapy, Llc | |
|
622 Eagle Rock Ave, West Orange, NJ 07052-2994 | |
| (973) 669-0078 | |
| (973) 669-1113 |
| Full Name | Jag-one Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 622 Eagle Rock Ave, West Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518017144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01172700 (New Jersey) | Primary |
| Provider Name | Walter A Zaulyczny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669438255 PECOS PAC ID: 5799678967 Enrollment ID: I20040203000866 |
| Provider Name | Lynn B Simon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396763488 PECOS PAC ID: 8921996315 Enrollment ID: I20040308000776 |
| Provider Name | Sean Mcgarigle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982755666 PECOS PAC ID: 9739170242 Enrollment ID: I20040524000018 |
| Provider Name | Kim Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184654667 PECOS PAC ID: 3476533522 Enrollment ID: I20040721000385 |
| Provider Name | Melissa R Kanter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447232319 PECOS PAC ID: 3476533225 Enrollment ID: I20040722000308 |
| Provider Name | Helene Lopa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164451001 PECOS PAC ID: 7214908441 Enrollment ID: I20040803000176 |
| Provider Name | Lawrence Nisivoccia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710049077 PECOS PAC ID: 3072585926 Enrollment ID: I20040811000039 |
| Provider Name | Cheryl Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407936990 PECOS PAC ID: 6800869819 Enrollment ID: I20040818000079 |
| Provider Name | Janet M Meiswinkle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033293519 PECOS PAC ID: 1658346424 Enrollment ID: I20040826000876 |
| Provider Name | Kim R Minervini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275692824 PECOS PAC ID: 0840265658 Enrollment ID: I20040827000064 |
| Provider Name | Donabella P Magdadaro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538216163 PECOS PAC ID: 9638147861 Enrollment ID: I20040924000073 |
| Provider Name | Louis F Digiovine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144300856 PECOS PAC ID: 5991765687 Enrollment ID: I20041018000169 |
| Provider Name | Anup Dhage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396824579 PECOS PAC ID: 2264494319 Enrollment ID: I20041101000353 |
| Provider Name | Brian Paul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033105010 PECOS PAC ID: 8820052590 Enrollment ID: I20041113000038 |
| Provider Name | Jennifer V Paul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306836473 PECOS PAC ID: 2466416136 Enrollment ID: I20041113000049 |
| Provider Name | Jaime M Cabinian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750750386 PECOS PAC ID: 3274598784 Enrollment ID: I20041124000032 |
| Provider Name | Terence E Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144376690 PECOS PAC ID: 4789641283 Enrollment ID: I20041216000317 |
| Provider Name | Markus L Manley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497827547 PECOS PAC ID: 3173581808 Enrollment ID: I20041229000014 |
| Provider Name | Shobha P Jacob |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104870765 PECOS PAC ID: 8527019272 Enrollment ID: I20050210000051 |
| Provider Name | Robert Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669475984 PECOS PAC ID: 3476590316 Enrollment ID: I20050413000062 |
| Provider Name | Ildiko Paulovits |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013932771 PECOS PAC ID: 2466496518 Enrollment ID: I20050705000046 |
| Provider Name | Michael A Mitacchione |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043258569 PECOS PAC ID: 2769400555 Enrollment ID: I20051130000807 |
| Provider Name | Brian K Homan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548292055 PECOS PAC ID: 3678595956 Enrollment ID: I20051230000002 |
| Provider Name | John Anthony Gallucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346314093 PECOS PAC ID: 0840212379 Enrollment ID: I20051230000138 |
| Provider Name | Robert J Rosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457450561 PECOS PAC ID: 3779597778 Enrollment ID: I20060209000001 |
| Provider Name | David De La Fuente |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861594111 PECOS PAC ID: 9739194820 Enrollment ID: I20060210000171 |
| Provider Name | Robert L Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245282755 PECOS PAC ID: 6305857640 Enrollment ID: I20060525000218 |
| Provider Name | Debra Cooke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265475529 PECOS PAC ID: 1355353871 Enrollment ID: I20060628000196 |
| Provider Name | James M Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730120940 PECOS PAC ID: 3072525492 Enrollment ID: I20060628000205 |
| Provider Name | Kelly Thacker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558386672 PECOS PAC ID: 0749293256 Enrollment ID: I20060731000409 |
| Provider Name | Karen L Barlow Lisk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316094956 PECOS PAC ID: 0244332542 Enrollment ID: I20070216000150 |
| Provider Name | Michael D Evangelist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780735316 PECOS PAC ID: 8325140999 Enrollment ID: I20070228000398 |
| Provider Name | Peggy J Ciriello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962553537 PECOS PAC ID: 5193827558 Enrollment ID: I20070305000006 |
| Provider Name | Jeanette M Casey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851450191 PECOS PAC ID: 4082710504 Enrollment ID: I20070430000527 |
| Provider Name | Christian S Gartner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619190675 PECOS PAC ID: 8527166271 Enrollment ID: I20070605000157 |
| Provider Name | Heidi Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457422040 PECOS PAC ID: 7416055587 Enrollment ID: I20070613000548 |
| Provider Name | Margaret Senn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528122843 PECOS PAC ID: 4981798345 Enrollment ID: I20070917000489 |
| Provider Name | Elaine Waksman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528258639 PECOS PAC ID: 7214829571 Enrollment ID: I20070920000540 |
| Provider Name | Amanda A Borowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154466787 PECOS PAC ID: 0941275549 Enrollment ID: I20071010000768 |
| Provider Name | Leigh F Failace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407004039 PECOS PAC ID: 8527126358 Enrollment ID: I20081023000463 |
| Provider Name | Saroj H Vaidya |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447465646 PECOS PAC ID: 6406915412 Enrollment ID: I20081105000775 |
| Provider Name | Jeffrey Rigby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619132768 PECOS PAC ID: 6204995137 Enrollment ID: I20081107000140 |
| Provider Name | David J Santamaria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639327554 PECOS PAC ID: 8325107980 Enrollment ID: I20081111000735 |
| Provider Name | Stephanie Bolebruch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447319843 PECOS PAC ID: 5799847216 Enrollment ID: I20081217000546 |
| Provider Name | Rudolph F Christopher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801927595 PECOS PAC ID: 2860556180 Enrollment ID: I20090202000411 |
| Provider Name | Alka Sishodia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770773095 PECOS PAC ID: 4082632609 Enrollment ID: I20090311000468 |
| Provider Name | Matthew J Smelas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922215870 PECOS PAC ID: 7012067572 Enrollment ID: I20090604000391 |
| Provider Name | Christina Maria King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104094986 PECOS PAC ID: 0547312829 Enrollment ID: I20090717000010 |
| Provider Name | Troy S Cariaso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659545036 PECOS PAC ID: 7618029547 Enrollment ID: I20090723000302 |
| Provider Name | Michelle P Dela Rosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144398249 PECOS PAC ID: 2163576307 Enrollment ID: I20090821000448 |
| Provider Name | Konrad Roslonek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902133259 PECOS PAC ID: 8921149766 Enrollment ID: I20091230000636 |
| Provider Name | Michael R Santamaria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720187974 PECOS PAC ID: 2567408669 Enrollment ID: I20100107000389 |
| Provider Name | Catherine E Laico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326093949 PECOS PAC ID: 4587708391 Enrollment ID: I20100218000527 |
| Provider Name | Barry G Inglett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578510020 PECOS PAC ID: 1850435652 Enrollment ID: I20100218000594 |
| Provider Name | Jenny M Jordan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558690412 PECOS PAC ID: 9739223173 Enrollment ID: I20100223000270 |
| Provider Name | Daniel Kane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457675977 PECOS PAC ID: 5597894436 Enrollment ID: I20100602000438 |
| Provider Name | Thomas J Trezza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114922408 PECOS PAC ID: 2466446042 Enrollment ID: I20101101001486 |
| Provider Name | Lauren Elizabeth Defelice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033425186 PECOS PAC ID: 3274712898 Enrollment ID: I20110127000722 |
| Provider Name | Christopher Jacquet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760791685 PECOS PAC ID: 6103002506 Enrollment ID: I20110519000613 |
| Provider Name | Kerry W Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518962463 PECOS PAC ID: 7214114313 Enrollment ID: I20110526000444 |
| Provider Name | Dale Ambrogio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285672600 PECOS PAC ID: 2062690985 Enrollment ID: I20110624000106 |
| Provider Name | Allison D Torrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346245651 PECOS PAC ID: 5890973101 Enrollment ID: I20110708000276 |
| Provider Name | Michael J Wylykanowitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457647307 PECOS PAC ID: 7416127162 Enrollment ID: I20110907001097 |
| Provider Name | Jennifer R Carlisle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750660569 PECOS PAC ID: 2466623632 Enrollment ID: I20110920000039 |
| Provider Name | Justin S Solotoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265583546 PECOS PAC ID: 9234304064 Enrollment ID: I20111207000034 |
| Provider Name | Anna Palkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891719431 PECOS PAC ID: 9436324944 Enrollment ID: I20111213000026 |
| Provider Name | Kathryn A Haskins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932483500 PECOS PAC ID: 3870768013 Enrollment ID: I20111216000036 |
| Provider Name | James H Rushmore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497729917 PECOS PAC ID: 7719874791 Enrollment ID: I20111219000296 |
| Provider Name | Joseph Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568748507 PECOS PAC ID: 8325214919 Enrollment ID: I20120103000589 |
| Provider Name | Sara Gregg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063789428 PECOS PAC ID: 1456528264 Enrollment ID: I20120119000390 |
| Provider Name | Mary H Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356618771 PECOS PAC ID: 8628235983 Enrollment ID: I20120130000464 |
| Provider Name | Elan Araten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801113246 PECOS PAC ID: 7416114335 Enrollment ID: I20120206000066 |
| Provider Name | Ehrl T Macasadia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922381334 PECOS PAC ID: 1355509084 Enrollment ID: I20120227000061 |
| Provider Name | Cassandra Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659648376 PECOS PAC ID: 4082875430 Enrollment ID: I20120412000320 |
| Provider Name | Chi Man Catherine Hung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770642654 PECOS PAC ID: 1052435963 Enrollment ID: I20120521000041 |
| Provider Name | Jason P Carelis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477812808 PECOS PAC ID: 6901069483 Enrollment ID: I20120521000106 |
| Provider Name | Renata Pac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356698849 PECOS PAC ID: 3779731278 Enrollment ID: I20120906000772 |
| Provider Name | Marisa Petrone Gough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871840645 PECOS PAC ID: 7012165244 Enrollment ID: I20120913000363 |
| Provider Name | Joseph Persico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275880676 PECOS PAC ID: 7719135680 Enrollment ID: I20120918000719 |
| Provider Name | Kristy Racz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710234505 PECOS PAC ID: 3173772043 Enrollment ID: I20121009000691 |
| Provider Name | Jet R Gaminde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720334147 PECOS PAC ID: 1355592353 Enrollment ID: I20121126000427 |
| Provider Name | Erick H Torres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427281252 PECOS PAC ID: 9436301256 Enrollment ID: I20121130000244 |
| Provider Name | Jennifer A Norton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508171745 PECOS PAC ID: 9739331489 Enrollment ID: I20121204000425 |
| Provider Name | Payal N Rybenok |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285970202 PECOS PAC ID: 6406009828 Enrollment ID: I20130116000189 |
| Provider Name | Diana Ramotowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578799466 PECOS PAC ID: 1658424635 Enrollment ID: I20130211000077 |
| Provider Name | Marissa L Bingler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962747980 PECOS PAC ID: 1355595869 Enrollment ID: I20130211000320 |
| Provider Name | Kerry J Clancy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780925701 PECOS PAC ID: 1850537630 Enrollment ID: I20130424000134 |
| Provider Name | Whilma Yalung Maniti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518989441 PECOS PAC ID: 9830182674 Enrollment ID: I20130607000003 |
| Provider Name | Ambika Diwan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649431669 PECOS PAC ID: 6103081450 Enrollment ID: I20130816000517 |
| Provider Name | Rebecca Florence Moreland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376802876 PECOS PAC ID: 8224291984 Enrollment ID: I20130824000005 |
| Provider Name | Amanda L Rotondo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437584109 PECOS PAC ID: 2163657982 Enrollment ID: I20131104000935 |
| Provider Name | Cinderella Abdullah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306269071 PECOS PAC ID: 6800026097 Enrollment ID: I20140310000933 |
| Provider Name | Michael A Wehrhahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902237977 PECOS PAC ID: 0042441230 Enrollment ID: I20140402000073 |
| Provider Name | Justin T Vanderhoof |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952729675 PECOS PAC ID: 8527282003 Enrollment ID: I20140624002484 |
| Provider Name | Harold G Alaan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235431586 PECOS PAC ID: 9436374923 Enrollment ID: I20140625000216 |
| Provider Name | Nidhi Gupta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659587012 PECOS PAC ID: 7214151166 Enrollment ID: I20140723000816 |
| Provider Name | Donna C Briody |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467611814 PECOS PAC ID: 8921220484 Enrollment ID: I20141118000428 |
| Provider Name | Jaclyn E Zurlo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316346141 PECOS PAC ID: 4486976776 Enrollment ID: I20141121001632 |
| Provider Name | Jessica C Soltys |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306121066 PECOS PAC ID: 4284956087 Enrollment ID: I20141205001231 |
| Provider Name | Joshua J Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598164311 PECOS PAC ID: 2860715646 Enrollment ID: I20141231001361 |
| Provider Name | Christine Savela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053648352 PECOS PAC ID: 3577605443 Enrollment ID: I20150326000937 |
| Provider Name | Stefanie Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033227061 PECOS PAC ID: 0941205827 Enrollment ID: I20151110001157 |
| Provider Name | Aylin Mahmut |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952739534 PECOS PAC ID: 7618107210 Enrollment ID: I20151204000945 |
| Provider Name | Benigno Espeleta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306216338 PECOS PAC ID: 6305146598 Enrollment ID: I20151210000897 |
| Provider Name | Casey A Gartland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275904690 PECOS PAC ID: 1951602481 Enrollment ID: I20151229000310 |
| Provider Name | Antoinette Shields |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023473832 PECOS PAC ID: 3274836440 Enrollment ID: I20160121001175 |
| Provider Name | Lauren M Molinelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497125686 PECOS PAC ID: 4183928807 Enrollment ID: I20160201001007 |
| Provider Name | Michael A Huszcza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790142487 PECOS PAC ID: 1759455231 Enrollment ID: I20160302000775 |
| Provider Name | Gia Russo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780040774 PECOS PAC ID: 5597063743 Enrollment ID: I20160421000533 |
| Provider Name | Ryan A Trygar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720442064 PECOS PAC ID: 2860782851 Enrollment ID: I20160603000266 |
| Provider Name | David Balkan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194899013 PECOS PAC ID: 7517975972 Enrollment ID: I20160608000451 |
| Provider Name | Sarina Lavooy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073892121 PECOS PAC ID: 4183914823 Enrollment ID: I20160608000881 |
| Provider Name | Erin Polos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457729923 PECOS PAC ID: 9537450481 Enrollment ID: I20160623000713 |
| Provider Name | Robert Piccarillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922451509 PECOS PAC ID: 9335434992 Enrollment ID: I20160822000166 |
| Provider Name | Dina Lombardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033587100 PECOS PAC ID: 8820383409 Enrollment ID: I20160822000710 |
| Provider Name | Callista Faith Dipini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417403502 PECOS PAC ID: 6608163100 Enrollment ID: I20160927003009 |
| Provider Name | Lisa Cristiano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720534621 PECOS PAC ID: 9234427998 Enrollment ID: I20161012001117 |
| Provider Name | Mark Cristiano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154877058 PECOS PAC ID: 5496043150 Enrollment ID: I20161012001209 |
| Provider Name | Arthur Shevardnadze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164979787 PECOS PAC ID: 2769760271 Enrollment ID: I20161102002840 |
| Provider Name | Christina Might |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801342704 PECOS PAC ID: 4284912775 Enrollment ID: I20161104000085 |
| Provider Name | Sonam T Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942752191 PECOS PAC ID: 3577843663 Enrollment ID: I20161207000499 |
| Provider Name | Brian E Tababa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275076366 PECOS PAC ID: 8527340017 Enrollment ID: I20170118000130 |
| Provider Name | Justine Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609310051 PECOS PAC ID: 2860777448 Enrollment ID: I20170322000795 |
| Provider Name | Nikita Chandulal Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508115155 PECOS PAC ID: 4789820903 Enrollment ID: I20170601000829 |
| Provider Name | Adam Gresh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629311733 PECOS PAC ID: 1557508835 Enrollment ID: I20170620000475 |
| Provider Name | Pauline Gasparro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013446368 PECOS PAC ID: 0042580185 Enrollment ID: I20170721000963 |
| Provider Name | Craig Soriano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649790833 PECOS PAC ID: 2062783483 Enrollment ID: I20170803001894 |
| Provider Name | Shelly Moti Sanganee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942744503 PECOS PAC ID: 0446523575 Enrollment ID: I20170912000199 |
| Provider Name | Nicolette Manoleas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841718343 PECOS PAC ID: 9739454984 Enrollment ID: I20171013002098 |
| Provider Name | Katharina Metrokotsas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326566886 PECOS PAC ID: 3072889070 Enrollment ID: I20171018003063 |
| Provider Name | Sandeep K Suri |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912284944 PECOS PAC ID: 1951677806 Enrollment ID: I20171021000016 |
| Provider Name | Darshan J Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851831770 PECOS PAC ID: 5991061533 Enrollment ID: I20171114002562 |
| Provider Name | Glenn Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881113702 PECOS PAC ID: 6406113687 Enrollment ID: I20171122002585 |
| Provider Name | Vincent Gary Petracco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619487444 PECOS PAC ID: 3274890397 Enrollment ID: I20171128002357 |
| Provider Name | Faiz F Habashy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710490370 PECOS PAC ID: 1658638119 Enrollment ID: I20171208000852 |
| Provider Name | Daniel M. Spinelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962914499 PECOS PAC ID: 5193083525 Enrollment ID: I20171213000163 |
| Provider Name | Erin L Dinisio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659885747 PECOS PAC ID: 5698034163 Enrollment ID: I20180109002851 |
| Provider Name | David Switay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245742964 PECOS PAC ID: 6103186622 Enrollment ID: I20180201000836 |
| Provider Name | Riddhi Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356697775 PECOS PAC ID: 5597069849 Enrollment ID: I20180228000727 |
| Provider Name | Steven D Kreh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720594807 PECOS PAC ID: 4284997420 Enrollment ID: I20180420001723 |
| Provider Name | Palak Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285125252 PECOS PAC ID: 7012263254 Enrollment ID: I20180702001374 |
| Provider Name | Donna Jo Dinorcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295211282 PECOS PAC ID: 8729337787 Enrollment ID: I20180823003231 |
| Provider Name | Laura A. Kellogg-abraham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972629616 PECOS PAC ID: 0648543975 Enrollment ID: I20180920000132 |
| Provider Name | Shawna Poltricitsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598246118 PECOS PAC ID: 7214288802 Enrollment ID: I20180920001740 |
| Provider Name | Andrew Atalla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295134468 PECOS PAC ID: 8921359449 Enrollment ID: I20180924000085 |
| Provider Name | Michael Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699256420 PECOS PAC ID: 0244581668 Enrollment ID: I20180925001357 |
| Provider Name | Kyle Thomas Maynard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235610338 PECOS PAC ID: 6507117504 Enrollment ID: I20181001000848 |
| Provider Name | Jacqueline Lospinoso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396227823 PECOS PAC ID: 1456603893 Enrollment ID: I20181011002442 |
| Provider Name | Ryan Skalka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578044889 PECOS PAC ID: 1052663424 Enrollment ID: I20181012000784 |
| Provider Name | Brittany Bonamo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669955829 PECOS PAC ID: 6305199621 Enrollment ID: I20181102000010 |
| Provider Name | Ruju Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700259330 PECOS PAC ID: 3072857325 Enrollment ID: I20181128000489 |
| Provider Name | Connor Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225506991 PECOS PAC ID: 6204171937 Enrollment ID: I20181227000516 |
| Provider Name | Heather Sharon Fisch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619446648 PECOS PAC ID: 3072858505 Enrollment ID: I20190102002039 |
| Provider Name | Rebecca Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518437078 PECOS PAC ID: 5890031017 Enrollment ID: I20190109001759 |
| Provider Name | Nicholas Mazzone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043753908 PECOS PAC ID: 9537441662 Enrollment ID: I20190213001862 |
| Provider Name | Andrea L Varellie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447715719 PECOS PAC ID: 8527307958 Enrollment ID: I20190304000167 |
| Provider Name | Gabriella Trepper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205295029 PECOS PAC ID: 2264765536 Enrollment ID: I20190603000042 |
| Provider Name | Fatima Khan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164891008 PECOS PAC ID: 3870801988 Enrollment ID: I20190703000638 |
| Provider Name | Enrique Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770917908 PECOS PAC ID: 3678796570 Enrollment ID: I20190711000330 |
| Provider Name | Melissa K Ryan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568024214 PECOS PAC ID: 0840526968 Enrollment ID: I20190729000079 |
| Provider Name | Dennis Waite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861054553 PECOS PAC ID: 6800123423 Enrollment ID: I20190806000114 |
| Provider Name | Ashley Baum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568917276 PECOS PAC ID: 7719274216 Enrollment ID: I20190815001213 |
| Provider Name | Michael Cascio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659931954 PECOS PAC ID: 6507194743 Enrollment ID: I20190826001672 |
| Provider Name | Jess J Barsotti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710134846 PECOS PAC ID: 6204994478 Enrollment ID: I20191002001462 |
| Provider Name | Matthew Cirelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164821989 PECOS PAC ID: 3779805270 Enrollment ID: I20191022001530 |
| Provider Name | Edward Zdanowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699229153 PECOS PAC ID: 9335437722 Enrollment ID: I20191028000640 |
| Provider Name | Mark Orillaza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437708849 PECOS PAC ID: 1951633478 Enrollment ID: I20191101000050 |
| Provider Name | Bhakti Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811402217 PECOS PAC ID: 3577895069 Enrollment ID: I20191104000097 |
| Provider Name | Glenn V Forsyth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225686488 PECOS PAC ID: 7911239355 Enrollment ID: I20191104002449 |
| Provider Name | Shannon White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427606672 PECOS PAC ID: 9739411083 Enrollment ID: I20191106000496 |
| Provider Name | Richie Kumar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235787490 PECOS PAC ID: 8628400587 Enrollment ID: I20191114000326 |
| Provider Name | Jacqueline Ruggiero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457993784 PECOS PAC ID: 3476986837 Enrollment ID: I20191126001170 |
| Provider Name | Shawn Kuizema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982255386 PECOS PAC ID: 8426481730 Enrollment ID: I20191127000416 |
| Provider Name | Kathryn Willmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326681578 PECOS PAC ID: 3779916721 Enrollment ID: I20191204002194 |
| Provider Name | Nicole Cangelosi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972159903 PECOS PAC ID: 3971937244 Enrollment ID: I20191218002888 |
| Provider Name | Dustin Passigli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720455843 PECOS PAC ID: 0749583300 Enrollment ID: I20191220000194 |
| Provider Name | Tyler Kalarjian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275179590 PECOS PAC ID: 1254765308 Enrollment ID: I20191223001395 |
| Provider Name | Juliana Pami |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669018891 PECOS PAC ID: 7315371242 Enrollment ID: I20191230001895 |
| Provider Name | Samantha Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538705892 PECOS PAC ID: 2860827136 Enrollment ID: I20200114002298 |
| Provider Name | Devan Gallucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427697432 PECOS PAC ID: 7517392426 Enrollment ID: I20200123001574 |
| Provider Name | Gianna Galeotafiore Mnich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689204679 PECOS PAC ID: 4385070531 Enrollment ID: I20200206000380 |
| Provider Name | Allison M Johansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598761611 PECOS PAC ID: 1456546431 Enrollment ID: I20200207000705 |
| Provider Name | Zachary Vatalare |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124658554 PECOS PAC ID: 3577991249 Enrollment ID: I20200311000600 |
| Provider Name | Simran Anil Lund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710479779 PECOS PAC ID: 7517211709 Enrollment ID: I20200316000019 |
| Provider Name | Michael Fina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033652128 PECOS PAC ID: 3173805413 Enrollment ID: I20200326002622 |
| Provider Name | Jonathan S Elias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134552110 PECOS PAC ID: 7911132428 Enrollment ID: I20200330002088 |
| Provider Name | Taylor Ghodbane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821554775 PECOS PAC ID: 1658702428 Enrollment ID: I20200511002882 |
| Provider Name | Jonathan S Winter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528549185 PECOS PAC ID: 7911258637 Enrollment ID: I20200826001010 |
| Provider Name | Angelica O Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598376121 PECOS PAC ID: 3971920109 Enrollment ID: I20200902000443 |
| Provider Name | Michael Hogan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568077303 PECOS PAC ID: 0941629919 Enrollment ID: I20200925000262 |
| Provider Name | Vasu Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306443874 PECOS PAC ID: 6204256746 Enrollment ID: I20201021002703 |
| Provider Name | Stephanie Marie Vadino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194324251 PECOS PAC ID: 1557771813 Enrollment ID: I20201028001025 |
| Provider Name | Tyler Morando |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649887928 PECOS PAC ID: 9335559434 Enrollment ID: I20201030001446 |
| Provider Name | James Mcnulty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144298357 PECOS PAC ID: 9133303779 Enrollment ID: I20201102000224 |
| Provider Name | Joseph T Gallagher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841208873 PECOS PAC ID: 0840600730 Enrollment ID: I20201104001065 |
| Provider Name | Jennifer Watt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023641859 PECOS PAC ID: 3274943071 Enrollment ID: I20201106000314 |
| Provider Name | Mikhail Beg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356940423 PECOS PAC ID: 6204247596 Enrollment ID: I20201117001913 |
| Provider Name | Jeffrey S Crispin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225044209 PECOS PAC ID: 1850702853 Enrollment ID: I20201124000024 |
| Provider Name | Bryan C Ferretta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942311766 PECOS PAC ID: 0840601845 Enrollment ID: I20201124000042 |
| Provider Name | Kristin Cavorley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568064558 PECOS PAC ID: 7315359379 Enrollment ID: I20201215003155 |
| Provider Name | Stephanie Napolitano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871198457 PECOS PAC ID: 6406268135 Enrollment ID: I20201222000175 |
| Provider Name | Jeanine M Cabatu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992309785 PECOS PAC ID: 4082027602 Enrollment ID: I20201228001983 |
| Provider Name | Andrea Allsop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740879477 PECOS PAC ID: 3375958861 Enrollment ID: I20210216000023 |
| Provider Name | Anthony Salvatore Costanzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285226795 PECOS PAC ID: 7517373004 Enrollment ID: I20210308002437 |
| Provider Name | Luis Carlos Diaz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194314476 PECOS PAC ID: 8123435856 Enrollment ID: I20210325000953 |
| Provider Name | George Dudo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588260822 PECOS PAC ID: 8123435609 Enrollment ID: I20210330000319 |
| Provider Name | Sara J Lowenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841879764 PECOS PAC ID: 9638587256 Enrollment ID: I20210421000449 |
| Provider Name | Kristen Schumacher Parker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609453471 PECOS PAC ID: 0749698223 Enrollment ID: I20210422000015 |
| Provider Name | Nicolas Del Valle Sanchez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720652977 PECOS PAC ID: 7315346566 Enrollment ID: I20210520002019 |
| Provider Name | Mina Mikhail |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679157119 PECOS PAC ID: 2668871500 Enrollment ID: I20210526002885 |
| Provider Name | Katelyn Sheehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710490388 PECOS PAC ID: 0446510929 Enrollment ID: I20210712004209 |
| Provider Name | Roli B Aurora |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558736264 PECOS PAC ID: 3678860509 Enrollment ID: I20210714001224 |
| Provider Name | Ana Cabrera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205481959 PECOS PAC ID: 4486985991 Enrollment ID: I20210716000033 |
| Provider Name | Kevin Silva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396313029 PECOS PAC ID: 8628470358 Enrollment ID: I20210716001768 |
| Provider Name | Joseph Anthony Santigate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154933869 PECOS PAC ID: 5597184846 Enrollment ID: I20210721001074 |
| Provider Name | Lauren Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104497379 PECOS PAC ID: 8022412592 Enrollment ID: I20210805000187 |
| Provider Name | Christopher S Pinkerton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952424863 PECOS PAC ID: 2264836766 Enrollment ID: I20210805001310 |
| Provider Name | Jonathan Kronenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215279815 PECOS PAC ID: 6507005170 Enrollment ID: I20210824001859 |
| Provider Name | Alfred M Raccuia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134556392 PECOS PAC ID: 2264757384 Enrollment ID: I20210902002860 |
| Provider Name | Jillian Galindo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861169013 PECOS PAC ID: 1759787856 Enrollment ID: I20210914002871 |
| Provider Name | Dante S Searcy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457029282 PECOS PAC ID: 0345646485 Enrollment ID: I20210915000562 |
| Provider Name | Jin-yuan Liou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083851653 PECOS PAC ID: 1951708064 Enrollment ID: I20210916000153 |
| Provider Name | Eva C Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215602586 PECOS PAC ID: 4486051323 Enrollment ID: I20210921000364 |
| Provider Name | Milana Gilaga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902572043 PECOS PAC ID: 7517364466 Enrollment ID: I20210921000579 |
| Provider Name | David Perez Herranz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932386729 PECOS PAC ID: 7517042336 Enrollment ID: I20210924000911 |
| Provider Name | Jennifer Worrall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154095602 PECOS PAC ID: 6901203462 Enrollment ID: I20210927000059 |
| Provider Name | Matthew Joseph Tinnirella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619641701 PECOS PAC ID: 8820495161 Enrollment ID: I20210929000513 |
| Provider Name | Imani Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356018337 PECOS PAC ID: 6608273958 Enrollment ID: I20210929001126 |
| Provider Name | Tracy Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942228218 PECOS PAC ID: 8921003252 Enrollment ID: I20211001002147 |
| Provider Name | Emily Kaminski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023785813 PECOS PAC ID: 3870991763 Enrollment ID: I20211006003569 |
| Provider Name | Gil A Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932875515 PECOS PAC ID: 7214335876 Enrollment ID: I20211012002044 |
| Provider Name | Tara Elizabeth Connelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770252132 PECOS PAC ID: 1658779251 Enrollment ID: I20211012003554 |
| Provider Name | Anisha S Jain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285950519 PECOS PAC ID: 2961688601 Enrollment ID: I20211014000175 |
| Provider Name | Rebecca Jean Romano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265109540 PECOS PAC ID: 9335537158 Enrollment ID: I20211028000588 |
| Provider Name | Margaret Webster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912307398 PECOS PAC ID: 2860714979 Enrollment ID: I20211110000336 |
| Provider Name | Eriko Takatsuki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518636943 PECOS PAC ID: 8820488570 Enrollment ID: I20211213000035 |
| Provider Name | Yash Doshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811655988 PECOS PAC ID: 1951793694 Enrollment ID: I20220110001259 |
| Provider Name | Rini Rafiq Amlani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891276275 PECOS PAC ID: 0840683678 Enrollment ID: I20220131001125 |
| Provider Name | Alexandra Sahni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558028001 PECOS PAC ID: 9436542172 Enrollment ID: I20220202000589 |
| Provider Name | Timothy Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134688542 PECOS PAC ID: 7517207525 Enrollment ID: I20220214000520 |
| Provider Name | Shraddha Wagh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013677889 PECOS PAC ID: 4082008685 Enrollment ID: I20220224001847 |
| Provider Name | Joelle Manganella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790437119 PECOS PAC ID: 3072907609 Enrollment ID: I20220225000078 |
| Provider Name | Angel J Torres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073273843 PECOS PAC ID: 8921493461 Enrollment ID: I20220318000851 |
| Provider Name | Alexander Thomas Lunsmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457006124 PECOS PAC ID: 4587059662 Enrollment ID: I20220329000013 |
| Provider Name | Ma Christina Pillora |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144587171 PECOS PAC ID: 3971768235 Enrollment ID: I20220331002217 |
| Provider Name | Gianna Pepe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487301180 PECOS PAC ID: 4183010903 Enrollment ID: I20220404002792 |
| Provider Name | Riddhi Chheda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013534007 PECOS PAC ID: 7517379225 Enrollment ID: I20220407001765 |
| Provider Name | Charmi Y Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992317267 PECOS PAC ID: 7517353782 Enrollment ID: I20220416000056 |
| Provider Name | Timothy Ryan Holland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972272680 PECOS PAC ID: 0547657702 Enrollment ID: I20220419000600 |
| Provider Name | Christian San Pedro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235877804 PECOS PAC ID: 9931588639 Enrollment ID: I20220627003363 |
| Provider Name | Mansi Agarwal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891211884 PECOS PAC ID: 9830462688 Enrollment ID: I20220628002989 |
| Provider Name | Madeline Holtz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497494702 PECOS PAC ID: 3072993658 Enrollment ID: I20220629002880 |
| Provider Name | Ashley Hilaire Dubreus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407585979 PECOS PAC ID: 0749661460 Enrollment ID: I20220713000089 |
| Provider Name | Kristen Helen Byars |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508599028 PECOS PAC ID: 7618358854 Enrollment ID: I20220719001110 |
| Provider Name | Margarita Munoz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114656899 PECOS PAC ID: 1355722455 Enrollment ID: I20220721000069 |
| Provider Name | Brandon Alexander Gildea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891426896 PECOS PAC ID: 4587045430 Enrollment ID: I20220722002892 |
| Provider Name | Bianca Arena Maira |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669107868 PECOS PAC ID: 3971985235 Enrollment ID: I20220803000114 |
| Provider Name | Matthew V Gillane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972781169 PECOS PAC ID: 7719360387 Enrollment ID: I20220815000604 |
| Provider Name | Danielle Marie Saitta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073241352 PECOS PAC ID: 1052795903 Enrollment ID: I20220826001546 |
| Provider Name | Erica Balsamo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770203473 PECOS PAC ID: 2466837133 Enrollment ID: I20220915002658 |
| Provider Name | Kyrillos Hany Barsoum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245950187 PECOS PAC ID: 8325424542 Enrollment ID: I20220926001764 |
| Provider Name | Justin Delgado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285354878 PECOS PAC ID: 0648656736 Enrollment ID: I20220927001688 |
| Provider Name | Michael Gary Lanigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194445064 PECOS PAC ID: 9032595087 Enrollment ID: I20220929000344 |
| Provider Name | Jessica Lynn Lukaszek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962170670 PECOS PAC ID: 1153797006 Enrollment ID: I20221018000147 |
| Provider Name | Darya Dronov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730643859 PECOS PAC ID: 7012240211 Enrollment ID: I20221021001135 |
| Provider Name | Cole John Cusanelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902524309 PECOS PAC ID: 2860869104 Enrollment ID: I20221031000461 |
| Provider Name | Kevin Mansfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700503968 PECOS PAC ID: 8921476292 Enrollment ID: I20221116003367 |
| Provider Name | Akshi Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992224877 PECOS PAC ID: 4284990193 Enrollment ID: I20221122003603 |
| Provider Name | Yekaterina Ferraro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265140230 PECOS PAC ID: 0547638496 Enrollment ID: I20221124000121 |
| Provider Name | Lacey Janelle-richy Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376264101 PECOS PAC ID: 6800264649 Enrollment ID: I20221129000080 |
| Provider Name | Dhaval Jayantkumar Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609187277 PECOS PAC ID: 1658539416 Enrollment ID: I20221217000067 |
| Provider Name | Nicholas Arcabascio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316618572 PECOS PAC ID: 0749688265 Enrollment ID: I20230125000428 |
| Provider Name | Katherine Albright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437529971 PECOS PAC ID: 4183925274 Enrollment ID: I20230130000705 |
| Provider Name | Holly Mcbrearty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033822424 PECOS PAC ID: 4284006966 Enrollment ID: I20230206001962 |
| Provider Name | Devin Douvier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568173755 PECOS PAC ID: 3274905831 Enrollment ID: I20230207003103 |
| Provider Name | Kimberly Cullen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487790671 PECOS PAC ID: 9638541105 Enrollment ID: I20230209000713 |
| Provider Name | Rosalind Cox Larrieux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437236924 PECOS PAC ID: 2365537347 Enrollment ID: I20230214001900 |
| Provider Name | Anna Trotta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992397491 PECOS PAC ID: 6608284666 Enrollment ID: I20230307001261 |
| Provider Name | Reynaldo De Vera Estuesta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528284320 PECOS PAC ID: 8820462534 Enrollment ID: I20230321000681 |
| Provider Name | Gilberto C Pereirinha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336857838 PECOS PAC ID: 2860866506 Enrollment ID: I20230321001883 |
| Provider Name | Adam Busch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457051583 PECOS PAC ID: 6901270586 Enrollment ID: I20230322000767 |
| Provider Name | Joseph William Ashton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831898337 PECOS PAC ID: 5799159224 Enrollment ID: I20230323000307 |
| Provider Name | Alyssa Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568161545 PECOS PAC ID: 9234503590 Enrollment ID: I20230328001923 |
| Provider Name | Irm Choudary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154023240 PECOS PAC ID: 0840665451 Enrollment ID: I20230413001272 |
| Provider Name | David Y Wallace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154798486 PECOS PAC ID: 8325356181 Enrollment ID: I20230417001541 |
| Provider Name | Emma A Magierski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417658667 PECOS PAC ID: 5799150181 Enrollment ID: I20230418000366 |
| Provider Name | Joseph Fullum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396378824 PECOS PAC ID: 0648636043 Enrollment ID: I20230509002268 |
| Provider Name | Nicole Adeyemi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659062743 PECOS PAC ID: 6901265255 Enrollment ID: I20230705000327 |
| Provider Name | Courtney Spurlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184316192 PECOS PAC ID: 8921469388 Enrollment ID: I20230801003239 |
| Provider Name | Olutoyin Aboderin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639854995 PECOS PAC ID: 6002277241 Enrollment ID: I20230803001973 |
| Provider Name | Brianna Mcinerney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003599796 PECOS PAC ID: 4688036858 Enrollment ID: I20230821000702 |
| Provider Name | Aneri Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194392209 PECOS PAC ID: 5890193239 Enrollment ID: I20230905000144 |
| Provider Name | Chad Joseph Dortu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033624549 PECOS PAC ID: 5496118630 Enrollment ID: I20230906000146 |
| Provider Name | Madison Vukicevich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376326801 PECOS PAC ID: 8426412461 Enrollment ID: I20230911000983 |
| Provider Name | Michelle Carlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285907865 PECOS PAC ID: 2365604204 Enrollment ID: I20230911004179 |
| Provider Name | Ryan Ward |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073397931 PECOS PAC ID: 9830553619 Enrollment ID: I20230912003030 |
| Provider Name | Francesco Totino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417554817 PECOS PAC ID: 6103237177 Enrollment ID: I20230913000123 |
| Provider Name | Jason Angellano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821872557 PECOS PAC ID: 1658735923 Enrollment ID: I20230920000021 |
| Provider Name | Brandon Chorzelewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598548067 PECOS PAC ID: 4082068804 Enrollment ID: I20230928000548 |
| Provider Name | Jake Trotter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871379024 PECOS PAC ID: 9739533365 Enrollment ID: I20230929002007 |
| Provider Name | Trudy Pacifico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437937927 PECOS PAC ID: 4486008091 Enrollment ID: I20231002001079 |
| Provider Name | Victoria Dobkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821875196 PECOS PAC ID: 6204281264 Enrollment ID: I20231011000695 |
| Provider Name | Nicole Shatsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235850058 PECOS PAC ID: 1658748090 Enrollment ID: I20231013001293 |
| Provider Name | Christine Delorenzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942902440 PECOS PAC ID: 1052766763 Enrollment ID: I20231016003338 |
| Provider Name | Megan Jannicelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962185249 PECOS PAC ID: 7911353925 Enrollment ID: I20231027000905 |
| Provider Name | Amanda Poulakowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164205423 PECOS PAC ID: 7113373143 Enrollment ID: I20231027001845 |
| Provider Name | Lauren Anne O'connell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154036473 PECOS PAC ID: 6608222450 Enrollment ID: I20231031000063 |
| Provider Name | Matthew Mariani |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245368463 PECOS PAC ID: 8628115896 Enrollment ID: I20231103000563 |
| Provider Name | Dominick Petronico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679351076 PECOS PAC ID: 6608223979 Enrollment ID: I20231108000416 |
| Provider Name | Kyle Greve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386327039 PECOS PAC ID: 3274980453 Enrollment ID: I20231109000820 |
| Provider Name | Mark Roufaeal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518744267 PECOS PAC ID: 8527415678 Enrollment ID: I20231110000222 |
| Provider Name | Nefatari S Ellis-marin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629576285 PECOS PAC ID: 7012267164 Enrollment ID: I20231110000536 |
| Provider Name | Frank Poveromo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114791233 PECOS PAC ID: 6800244526 Enrollment ID: I20231118000139 |
| Provider Name | Rachel Abill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508639147 PECOS PAC ID: 9032567201 Enrollment ID: I20231128003580 |
| Provider Name | John Cvitkovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558349779 PECOS PAC ID: 4082600333 Enrollment ID: I20231130003883 |
| Provider Name | Vaidehi Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063939601 PECOS PAC ID: 8022346345 Enrollment ID: I20231211000004 |
| Provider Name | Raquel Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518732106 PECOS PAC ID: 0749639946 Enrollment ID: I20231213002749 |
| Provider Name | Briana Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588439715 PECOS PAC ID: 4486004199 Enrollment ID: I20231221000362 |
| Provider Name | Linda Atta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639727407 PECOS PAC ID: 7416382114 Enrollment ID: I20231228001897 |
| Provider Name | Ziwei Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093584765 PECOS PAC ID: 8022469410 Enrollment ID: I20240110002317 |
| Provider Name | Joshua Naiman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275395840 PECOS PAC ID: 5698110146 Enrollment ID: I20240223003957 |
| Provider Name | Aastha Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679151567 PECOS PAC ID: 4880002880 Enrollment ID: I20240307001497 |
| Provider Name | Tanvi Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053918474 PECOS PAC ID: 5193115764 Enrollment ID: I20240314002094 |
| Provider Name | Ankita Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982250502 PECOS PAC ID: 7012248073 Enrollment ID: I20240321001395 |
| Provider Name | Avery Epstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376309468 PECOS PAC ID: 7517305188 Enrollment ID: I20240402000168 |
| Provider Name | Corinne Marie Bordieri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295317428 PECOS PAC ID: 2769820364 Enrollment ID: I20240402001503 |
| Provider Name | Ryan Mcconville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285487314 PECOS PAC ID: 7113366733 Enrollment ID: I20240416001643 |
| Provider Name | Richard Armstrong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245474311 PECOS PAC ID: 4789024456 Enrollment ID: I20240429000548 |
| Provider Name | Marybeth Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174762827 PECOS PAC ID: 5092155655 Enrollment ID: I20240430000450 |
| Provider Name | Miguel Cordova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497509236 PECOS PAC ID: 8224479399 Enrollment ID: I20240508000069 |
| Provider Name | Marina Ayoub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497490841 PECOS PAC ID: 2668850157 Enrollment ID: I20240509000800 |
| Provider Name | Ajay Mampilly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073947321 PECOS PAC ID: 9638528839 Enrollment ID: I20240617003856 |
| Provider Name | Marianne Sparacia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528813185 PECOS PAC ID: 0749723740 Enrollment ID: I20240618004547 |
| Provider Name | Rajvi Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659153484 PECOS PAC ID: 0749639490 Enrollment ID: I20240625000046 |
| Provider Name | Rocco Harry Gervasi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043581887 PECOS PAC ID: 9335683408 Enrollment ID: I20240630000046 |
| Provider Name | Satyam Thakur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235869371 PECOS PAC ID: 6406390574 Enrollment ID: I20240701000003 |
| Provider Name | David Mam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487296638 PECOS PAC ID: 9638401375 Enrollment ID: I20240725003857 |
| Provider Name | Brittani Helverson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780322537 PECOS PAC ID: 2365824091 Enrollment ID: I20240730002498 |
| Provider Name | Michael Fiore Notarmaso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700628302 PECOS PAC ID: 1951848597 Enrollment ID: I20240801000206 |
| Provider Name | Shrima Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952987182 PECOS PAC ID: 9739598079 Enrollment ID: I20240819000010 |
| Provider Name | Alyssa Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760213961 PECOS PAC ID: 6800335050 Enrollment ID: I20240831000137 |
| Provider Name | Jamison Wendel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891527750 PECOS PAC ID: 2769921949 Enrollment ID: I20240902000522 |
| Provider Name | Reema Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346073541 PECOS PAC ID: 8224578778 Enrollment ID: I20240911000193 |
| Provider Name | Mariel Loughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215760145 PECOS PAC ID: 1658811104 Enrollment ID: I20240911000334 |
| Provider Name | Nicholas Marte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891528634 PECOS PAC ID: 0749720217 Enrollment ID: I20240911000675 |
| Provider Name | Kathleen Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033943386 PECOS PAC ID: 4082154505 Enrollment ID: I20240911002926 |
| Provider Name | Nicholas Mohr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841022704 PECOS PAC ID: 7719427012 Enrollment ID: I20240913000859 |
| Provider Name | Jillian Frenick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356173991 PECOS PAC ID: 4688114887 Enrollment ID: I20240913001081 |
| Provider Name | Bassem Elmasry Elmasry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417781543 PECOS PAC ID: 2466993589 Enrollment ID: I20240917001571 |
| Provider Name | Brittany Collantes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992530224 PECOS PAC ID: 5193266146 Enrollment ID: I20240918002499 |
| Provider Name | Abelardo Ethan Termulo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649000936 PECOS PAC ID: 1850832551 Enrollment ID: I20240921000365 |
| Provider Name | Veronica Amaya-garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457114860 PECOS PAC ID: 8820437429 Enrollment ID: I20240922000031 |
| Provider Name | Kaci Parks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093541179 PECOS PAC ID: 7012448038 Enrollment ID: I20241001004668 |
| Provider Name | Matthew Kimball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811724719 PECOS PAC ID: 0345771051 Enrollment ID: I20241007000099 |
| Provider Name | Sarah Coulson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255164026 PECOS PAC ID: 1850822339 Enrollment ID: I20241008003299 |
| Provider Name | Alexander L Budhi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467289918 PECOS PAC ID: 5092247486 Enrollment ID: I20241009004531 |
| Provider Name | Tzu Yu Liu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063230761 PECOS PAC ID: 8628500675 Enrollment ID: I20241015001969 |
| Provider Name | Alexandra Kristine Mangus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629629795 PECOS PAC ID: 3072940543 Enrollment ID: I20241031000053 |
| Provider Name | Kellen Faunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578385076 PECOS PAC ID: 1557895927 Enrollment ID: I20241107001067 |
| Provider Name | Alexa Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396428918 PECOS PAC ID: 0749634715 Enrollment ID: I20241110000054 |
| Provider Name | Shweta Bhesania |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235956988 PECOS PAC ID: 2264967637 Enrollment ID: I20241121002389 |
| Provider Name | Lindsey Havens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518783570 PECOS PAC ID: 4385170299 Enrollment ID: I20241216000137 |
| Provider Name | Christopher Oliveri |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538989389 PECOS PAC ID: 2961939244 Enrollment ID: I20241227000955 |
| Provider Name | Elisheva Rosenbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790592152 PECOS PAC ID: 1759818750 Enrollment ID: I20250102000796 |
| Provider Name | Nora Tellow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841701281 PECOS PAC ID: 2769748169 Enrollment ID: I20250131000071 |
| Provider Name | Grace Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750088282 PECOS PAC ID: 3678002813 Enrollment ID: I20250203000094 |
| Provider Name | Alejandra Montejo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376091835 PECOS PAC ID: 2163706136 Enrollment ID: I20250203002691 |
| Provider Name | Paige Nonnenmacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093524670 PECOS PAC ID: 0840720959 Enrollment ID: I20250205000098 |
| Provider Name | Alexa Saldida |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447055215 PECOS PAC ID: 1850811928 Enrollment ID: I20250219001812 |
| Provider Name | Kelly Sacchetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588476360 PECOS PAC ID: 5092235978 Enrollment ID: I20250221002216 |
| Provider Name | Marissa Petronzio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144027376 PECOS PAC ID: 2668993726 Enrollment ID: I20250305001364 |
| Provider Name | Andrew Ea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548069206 PECOS PAC ID: 9335661586 Enrollment ID: I20250318001493 |
| Provider Name | Michelle Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801696406 PECOS PAC ID: 8022530880 Enrollment ID: I20250320003663 |
| Provider Name | Connor James |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346042769 PECOS PAC ID: 9436672656 Enrollment ID: I20250328001479 |
| Provider Name | David Lipow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447929633 PECOS PAC ID: 4688071913 Enrollment ID: I20250403002861 |
| Provider Name | Daniel Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275337420 PECOS PAC ID: 9032633078 Enrollment ID: I20250410003353 |
| Provider Name | Bertilino Cinco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801690623 PECOS PAC ID: 6406371087 Enrollment ID: I20250416000763 |
| Provider Name | Shailin Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134828569 PECOS PAC ID: 8123491685 Enrollment ID: I20250430000765 |
| Provider Name | Julian Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881401826 PECOS PAC ID: 8527587369 Enrollment ID: I20250527000101 |
| Provider Name | Andrew Lenneper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912790338 PECOS PAC ID: 2365951282 Enrollment ID: I20250603000872 |
| Provider Name | Neha Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962772079 PECOS PAC ID: 0042478240 Enrollment ID: I20250604000046 |
| Provider Name | Andrea Hecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104848217 PECOS PAC ID: 8022077676 Enrollment ID: I20250605001465 |
| Provider Name | Alexander Yousko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922891449 PECOS PAC ID: 3173034568 Enrollment ID: I20250613000038 |
| Provider Name | Kathleen Ann Cobb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609953900 PECOS PAC ID: 0244742989 Enrollment ID: I20250626002058 |
| Provider Name | Kate Latoja Alonzo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750276317 PECOS PAC ID: 3072027416 Enrollment ID: I20250708004762 |
| Provider Name | Sarra Nasim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356236020 PECOS PAC ID: 9436663549 Enrollment ID: I20250710000525 |
| Provider Name | Adriana Josifoska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649164815 PECOS PAC ID: 9830604727 Enrollment ID: I20250710003898 |
| Provider Name | Athar Shakeel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952016958 PECOS PAC ID: 9234588823 Enrollment ID: I20250721004013 |
| Provider Name | Aishwarya Raval |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730797440 PECOS PAC ID: 0042692808 Enrollment ID: I20250722002522 |
| Provider Name | Janet Dsouza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720841497 PECOS PAC ID: 7618313651 Enrollment ID: I20250722004490 |
| Provider Name | Dervain Mattos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457249518 PECOS PAC ID: 2769990654 Enrollment ID: I20250801003386 |
| Provider Name | Ada Fusco |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851164198 PECOS PAC ID: 6305293556 Enrollment ID: I20250805004363 |
| Provider Name | Kayla B Nugent |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225911282 PECOS PAC ID: 8527567452 Enrollment ID: I20250818003714 |
| Provider Name | Brian Neira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841175544 PECOS PAC ID: 2567962467 Enrollment ID: I20250825002717 |
| Provider Name | David Tobar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902788011 PECOS PAC ID: 8426550195 Enrollment ID: I20250903003541 |
| Provider Name | Jamie Barrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306722822 PECOS PAC ID: 0840792917 Enrollment ID: I20250908001181 |
| Provider Name | Emma Callahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669358735 PECOS PAC ID: 2466955943 Enrollment ID: I20250911000998 |
| Provider Name | Joy Senkungu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235010166 PECOS PAC ID: 8527563519 Enrollment ID: I20250922002800 |
| Provider Name | Marina Hanna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114898111 PECOS PAC ID: 5991200065 Enrollment ID: I20250929000737 |
| Provider Name | Lauren Krewsun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891666525 PECOS PAC ID: 8729584602 Enrollment ID: I20250930002387 |
| Provider Name | Molly Reckseit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013888478 PECOS PAC ID: 6709382401 Enrollment ID: I20251001003569 |
| Provider Name | Payal Shah |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720744022 PECOS PAC ID: 1850897471 Enrollment ID: I20251002002335 |
| Provider Name | Mitchell Paton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467331579 PECOS PAC ID: 8022515931 Enrollment ID: I20251007004398 |
| Provider Name | Christina Bianchi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548710734 PECOS PAC ID: 7315444908 Enrollment ID: I20251009000899 |
| Provider Name | Hemanshi Hiteshbhai Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518730050 PECOS PAC ID: 5294178737 Enrollment ID: I20251015001378 |
| Provider Name | Shannen Ramirez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538031810 PECOS PAC ID: 6305333105 Enrollment ID: I20251015001955 |
| Provider Name | Daniel Di Zuzio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447130109 PECOS PAC ID: 2365930625 Enrollment ID: I20251020002854 |
| Provider Name | Haytham Hussein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104706290 PECOS PAC ID: 0547758237 Enrollment ID: I20251023004162 |
| Provider Name | Annmarie Brady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952277568 PECOS PAC ID: 6406344985 Enrollment ID: I20251024003805 |
| Provider Name | Xuying Allie Liang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043189608 PECOS PAC ID: 0143711325 Enrollment ID: I20251115000230 |
| Provider Name | Urja Rana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184312498 PECOS PAC ID: 9638527286 Enrollment ID: I20251124001949 |
| Provider Name | Beth Anne Buscema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194961466 PECOS PAC ID: 2062819352 Enrollment ID: I20251201002685 |
| Provider Name | Eileene Yu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699636282 PECOS PAC ID: 9830682947 Enrollment ID: I20251205002278 |
| Provider Name | Matt Bansil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629930946 PECOS PAC ID: 3577056670 Enrollment ID: I20251206000099 |
| Provider Name | Mital Amin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205798576 PECOS PAC ID: 4981198991 Enrollment ID: I20251208002924 |
| Provider Name | Isaiah Ulep |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467328971 PECOS PAC ID: 4587158183 Enrollment ID: I20251211000357 |
| Provider Name | Zachary I Fuentes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780493759 PECOS PAC ID: 5092201038 Enrollment ID: I20251230000917 |
| Provider Name | Eve Marmel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124981691 PECOS PAC ID: 2062908908 Enrollment ID: I20251230004030 |
| Provider Name | Stephanie Patullo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295690261 PECOS PAC ID: 7719473040 Enrollment ID: I20260106003734 |
| Provider Name | Samuel Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063286698 PECOS PAC ID: 4688016330 Enrollment ID: I20260107000115 |
| Provider Name | Victoria Rainaud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427429513 PECOS PAC ID: 6901175132 Enrollment ID: I20260108003874 |
| Provider Name | Brian Thomas Jozwiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447113451 PECOS PAC ID: 8729564703 Enrollment ID: I20260108004043 |
| Provider Name | Ariel Olivia Lagares |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588392682 PECOS PAC ID: 0244613222 Enrollment ID: I20260108004266 |
| Provider Name | Gregory Cavaliere |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598581779 PECOS PAC ID: 7911433347 Enrollment ID: I20260110000054 |
| Provider Name | Brian Raimondi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831172899 PECOS PAC ID: 6608761267 Enrollment ID: I20260112001564 |
| Provider Name | Mausam Rakesh Sheth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245942317 PECOS PAC ID: 1052781085 Enrollment ID: I20260115002700 |
| Provider Name | Stephen Ingrassia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912307554 PECOS PAC ID: 0749502516 Enrollment ID: I20260126000592 |
| Provider Name | Kayla Burrier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174195663 PECOS PAC ID: 4284038373 Enrollment ID: I20260130000018 |
| Provider Name | Adam Duren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558223651 PECOS PAC ID: 8123507852 Enrollment ID: I20260212000289 |
| Provider Name | Kayla M Cudia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902625726 PECOS PAC ID: 9739604141 Enrollment ID: I20260214000285 |
| Provider Name | Alison Royle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962354118 PECOS PAC ID: 8628559390 Enrollment ID: I20260221000161 |
| Provider Name | Richard Christian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790637668 PECOS PAC ID: 9638650005 Enrollment ID: I20260224001894 |
| Provider Name | Mary Rallo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780536532 PECOS PAC ID: 6204317514 Enrollment ID: I20260225001689 |
| Provider Name | Sara Youssef |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902759848 PECOS PAC ID: 5193207868 Enrollment ID: I20260303001502 |
| Provider Name | Justin Augustin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144174442 PECOS PAC ID: 9335621432 Enrollment ID: I20260306002751 |
| Provider Name | Justin Woo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740134824 PECOS PAC ID: 5193208072 Enrollment ID: I20260310000483 |
| Provider Name | Jeremy Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063259224 PECOS PAC ID: 9739662529 Enrollment ID: I20260310003413 |
| Provider Name | Trinty Fowlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902752231 PECOS PAC ID: 7719461458 Enrollment ID: I20260320001948 |
| Provider Name | Jena Desalvo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720930191 PECOS PAC ID: 9234613845 Enrollment ID: I20260322000046 |
| Provider Name | Miletta Storchevaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215883301 PECOS PAC ID: 0648754275 Enrollment ID: I20260323000899 |
| Provider Name | Brigitte Cacchione |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144177825 PECOS PAC ID: 6204310626 Enrollment ID: I20260324000956 |
| Provider Name | Rebekah Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174476048 PECOS PAC ID: 4486138781 Enrollment ID: I20260325000435 |
| Provider Name | Dagoberto Alejandro Rojas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336028067 PECOS PAC ID: 4880179936 Enrollment ID: I20260326003762 |
| Provider Name | Jacob Philipose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003143744 PECOS PAC ID: 8628543899 Enrollment ID: I20260406003629 |
| Provider Name | Michael Thomas Villante |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821820044 PECOS PAC ID: 5294274957 Enrollment ID: I20260407000689 |
| Provider Name | Chenglin Mo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801736012 PECOS PAC ID: 7113492844 Enrollment ID: I20260409002515 |
| Provider Name | Timothy Sezar Sayanlar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982548319 PECOS PAC ID: 0143797001 Enrollment ID: I20260428002564 |
| Provider Name | Joshua Villa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386590651 PECOS PAC ID: 3476021239 Enrollment ID: I20260511000282 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588241889 PECOS PAC ID: 8729472949 Enrollment ID: I20260511000589 |
| Provider Name | Heather Alich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972303436 PECOS PAC ID: 4284157454 Enrollment ID: I20260513001768 |
| Provider Name | Rebecca Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063343754 PECOS PAC ID: 5991278020 Enrollment ID: I20260622000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Jag-one Physical Therapy, Llc 622 Eagle Rock Ave, West Orange, NJ 07052-2994 Ph: (973) 669-0078 | Jag-one Physical Therapy, Llc 622 Eagle Rock Ave, West Orange, NJ 07052-2994 Ph: (973) 669-0078 |
Elizabeth Caputo, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-6940 Fax: 973-243-6967 |
David Currie King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6842 |
Dr. Sandra Wojciehowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 |
Raphael Moreno, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 Eagle Rock Ave, West Orange, NJ 07052 Phone: 973-669-0078 |
Jaceline D Dejean, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 Pleasant Valley Way, West Orange, NJ 07052 Phone: 862-520-4027 |
Abigail Reid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 |
Ms. Leslie Prendergast, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Manger Rd, West Orange, NJ 07052 Phone: 973-736-7121 |