| Sparta Orthopedic & Sports Physical Therapy Llc | |
|
57 Sparta Ave, Sparta, NJ 07871-1822 | |
| (973) 726-0111 | |
| (973) 726-0399 |
| Full Name | Sparta Orthopedic & Sports Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 57 Sparta Ave, Sparta, 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 |
|---|---|---|---|
| 1710079454 | NPI | - | NPPES |
| 611366300 | Other | NJ | DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01006600 (New Jersey) | Primary |
| Provider Name | Scott C Theuret |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730125576 PECOS PAC ID: 3870526437 Enrollment ID: I20051014000060 |
| Provider Name | Christina M Keating |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811362965 PECOS PAC ID: 4880995638 Enrollment ID: I20151221000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Sparta Orthopedic & Sports Physical Therapy Llc 57 Sparta Ave, Sparta, NJ 07871-1822 Ph: (973) 726-0111 | Sparta Orthopedic & Sports Physical Therapy Llc 57 Sparta Ave, Sparta, NJ 07871-1822 Ph: (973) 726-0111 |
Allyson B Alexander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13a Main St, Suite 4, Sparta, NJ 07871 Phone: 973-726-7400 Fax: 973-726-7440 | |
Jamie L Desena, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13a Main St, Suite 4, Sparta, NJ 07871 Phone: 973-726-7400 Fax: 973-726-7440 | |
Andrew Michael Evans, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13a Main St, Suite 4, Sparta, NJ 07871 Phone: 973-726-7400 Fax: 973-726-7440 | |
North Jersey Scoliosis And Physical Therapy Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 580 Lafayette Rd, St K, Sparta, NJ 07871 Phone: 862-268-0582 | |
Gabrielle A Gordon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 Lafayette Rd, Suite B, Sparta, NJ 07871 Phone: 973-940-8680 Fax: 973-940-8634 | |
Trinity Rehab Somerset Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 North Village Blvd, Suite D, Sparta, NJ 07871 Phone: 732-219-5700 | |
Townsend Physical Therapy And Healthcare Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 580 State Route 15, Sparta, NJ 07871 Phone: 973-862-4177 |