| Mrs Pamela A Minnis, PT | |
|
2510 Belmar Blvd, Colfax Plaza, Wall, NJ 07719-3948 | |
| (732) 681-1122 | |
| (732) 681-0999 |
| Full Name | Mrs Pamela A Minnis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2510 Belmar Blvd, Wall, 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 |
|---|---|---|---|
| 1316044423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00255300 (New Jersey) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pamela A Minnis, PT Po Box 1703, Wall, NJ 07719 Ph: (732) 681-1122 | Mrs Pamela A Minnis, PT 2510 Belmar Blvd, Colfax Plaza, Wall, NJ 07719-3948 Ph: (732) 681-1122 |
Mr. John P Siciliano, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2510 Belmar Blvd, J1 J2, Wall, NJ 07719 Phone: 732-681-1122 Fax: 732-681-0999 | |
Miss Lisa A Saez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1985 Highway 34, Unit A5, Wall, NJ 07719 Phone: 732-282-9228 Fax: 732-282-9227 | |
Mr. Gregory Matthew Minnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2510 Belmar Blvd # J1-2, Wall, NJ 07719 Phone: 732-681-1122 | |
Family Focus Physical Therapy Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2510 Belmar Blvd, J1 J2, Wall, NJ 07719 Phone: 732-681-1122 Fax: 732-681-0999 | |
Olivia Horant, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2510 Belmar Blvd, Wall, NJ 07719 Phone: 732-681-1122 Fax: 732-681-0999 | |
Jeanne E Marshall, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1506 Gully Rd, Wall, NJ 07719 Phone: 732-681-1400 |