| Nicole Palanza, DPT | |
|
424 S Main St, Forked River, NJ 08731-4654 | |
| (609) 971-4500 | |
| Not Available |
| Full Name | Nicole Palanza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 424 S Main St, Forked River, 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 |
|---|---|---|---|
| 1295565828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 048467 (New York) | Secondary |
| 225100000X | Physical Therapist | 40QA02127400 (New Jersey) | Primary |
| Provider Name | Thompson Medical And Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942755103 PECOS PAC ID: 5395008163 Enrollment ID: O20180409000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Palanza, DPT 1245 Capstan Dr, Forked River, NJ 08731-2019 Ph: (845) 238-4923 | Nicole Palanza, DPT 424 S Main St, Forked River, NJ 08731-4654 Ph: (609) 971-4500 |
Sara Gregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 731 Lacey Rd, Forked River, NJ 08731 Phone: 609-242-6780 Fax: 609-242-6783 | |
Megan Hope Minotti, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 730 Lacey Rd, Forked River, NJ 08731 Phone: 609-978-8957 | |
Joseph Nevoso, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 731 Lacey Rd Unit A, Forked River, NJ 08731 Phone: 609-756-5800 | |
Michael Christopher Vile, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 34 Manchester Ave, Suite 104, Forked River, NJ 08731 Phone: 609-693-9345 Fax: 609-693-9347 | |
Jeremy Norman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 Lacey Rd, Forked River, NJ 08731 Phone: 609-242-6780 Fax: 609-242-6783 | |
Katelyn Elizabeth Antoniewicz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 731 Lacey Rd Ste 3, Forked River, NJ 08731 Phone: 609-242-6780 Fax: 609-242-6783 | |
Paul Sullivan, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 34 Manchester Ave, Forked River, NJ 08731 Phone: 609-693-9345 Fax: 609-693-9347 |