| Tracy L Mascilak, PT | |
| 540 Lafayette Rd, Suite B, Sparta, NJ 07871-3497 | |
| (973) 940-8680 | |
| (973) 940-8634 | 
| Full Name | Tracy L Mascilak | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 540 Lafayette Rd, Sparta, 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 | 
|---|---|---|---|
| 1669668075 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00626600 (New Jersey) | Primary | 
| Provider Name | Opt Physical Therapy And Wellness, Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1659404457 PECOS PAC ID: 5496742488 Enrollment ID: O20040430000077 | 
| Provider Name | Mobile Therapy Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tracy L Mascilak, PT 13 Winding Brook Rd, Hamburg, NJ 07419-1026 Ph: (973) 670-8627 | Tracy L Mascilak, PT 540 Lafayette Rd, Suite B, Sparta, NJ 07871-3497 Ph: (973) 940-8680 | 
| 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 |