| Progressive Rehab And Home Care Pt & Ot, Pllc | |
|
537 Banta St, Ridgewood, NJ 07450-1918 | |
| (201) 803-7008 | |
| (201) 786-9222 |
| Full Name | Progressive Rehab And Home Care Pt & Ot, Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 537 Banta St, Ridgewood, 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 |
|---|---|---|---|
| 1093084634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 023107 (New York) | Secondary |
| 225X00000X | Occupational Therapist | 014057 (New York) | Primary |
| Provider Name | Mahros K Isaac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568780104 PECOS PAC ID: 4587636030 Enrollment ID: I20040806000389 |
| Provider Name | Andrew N Woolward |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154565687 PECOS PAC ID: 0345390704 Enrollment ID: I20090608000047 |
| Provider Name | Annaciela R Lazaro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457615171 PECOS PAC ID: 3274856414 Enrollment ID: I20141219001599 |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Rehab And Home Care Pt & Ot, Pllc 537 Banta St, Ridgewood, NJ 07450-1918 Ph: (201) 803-7008 | Progressive Rehab And Home Care Pt & Ot, Pllc 537 Banta St, Ridgewood, NJ 07450-1918 Ph: (201) 803-7008 |
Ruthellen Grace Dixon, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 Banta Street, Progressive Rehab And Home Crae, Pt&ot,pllc, Ridgewood, NJ 07450 Phone: 201-803-7008 | |
Erika Lipkin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Steilen Ave, Ridgewood, NJ 07450 Phone: 201-689-2260 Fax: 201-689-2260 | |
Betsy Jacob, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 330 Franklin Tpke, Ridgewood, NJ 07450 Phone: 201-447-1900 | |
Nancy K Becker, OTR,CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Route 17 South, Ridgewood, NJ 07450 Phone: 201-493-2414 Fax: 201-493-2415 | |
Deirdre Azzopardi, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Walthery Ave, Ridgewood, NJ 07450 Phone: 201-689-0717 | |
Amy Kelly, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 304 S Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-655-9610 | |
Kate Hillman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 Banta Street, Progressive Rehab And Home Care Pt&ot,pllc, Ridgewood, NJ 07450 Phone: 201-803-7008 Fax: 201-786-9222 |