| Kristina Mueller, | |
|
500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542 | |
| (201) 272-9400 | |
| Not Available |
| Full Name | Kristina Mueller |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 500 Ave At Port Imperial Blvd Ste 110, Weehawken, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346928967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02125700 (New Jersey) | Primary |
| Provider Name | Port Imperial Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679019996 PECOS PAC ID: 3779841333 Enrollment ID: O20180103001859 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Mueller, 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542 Ph: (201) 272-9400 | Kristina Mueller, 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086-7542 Ph: (201) 272-9400 |
Elizabeth Mancini, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 | |
Elizabeth Kwon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 | |
Douglas Wallace, Physical Therapist Medicare: Medicare Enrolled Practice Location: 36 Hudson Pl, Weehawken, NJ 07086 Phone: 201-522-6474 | |
Jaclyn H Fulop, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 Fax: 201-272-9402 | |
Andrew Pearson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4100 Park Ave Ste 8b, Weehawken, NJ 07086 Phone: 201-271-0800 | |
Moura Ibrahim, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Ave At Port Imperial Blvd Ste 110, Weehawken, NJ 07086 Phone: 201-272-9400 |