| Trifecta Therapeutics, Llc | |
|
107 Rowan Blvd, Glassboro, NJ 08028-2203 | |
| (856) 347-0333 | |
| (856) 230-7164 |
| Full Name | Trifecta Therapeutics, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Sports |
| Location | 107 Rowan Blvd, Glassboro, 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 |
|---|---|---|---|
| 1841701141 | NPI | - | NPPES |
| Provider Name | Jeremy Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407273642 PECOS PAC ID: 5597985101 Enrollment ID: I20141002001515 |
| Provider Name | Justin J Hanus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700433521 PECOS PAC ID: 6901238179 Enrollment ID: I20191111000983 |
| Provider Name | Tara Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154915536 PECOS PAC ID: 3274941794 Enrollment ID: I20210422002069 |
| Provider Name | John Vizzini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649945353 PECOS PAC ID: 4880099951 Enrollment ID: I20210827001241 |
| Provider Name | Alison Jude Guido |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023686243 PECOS PAC ID: 7517347420 Enrollment ID: I20220709000702 |
| Provider Name | Christopher Michael Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265133532 PECOS PAC ID: 7719342468 Enrollment ID: I20230502001032 |
| Provider Name | Cale Andrew Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144934258 PECOS PAC ID: 5092170779 Enrollment ID: I20240216000519 |
| Provider Name | Alexander Jordan Pena |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235975194 PECOS PAC ID: 7214477058 Enrollment ID: I20240909000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Trifecta Therapeutics, Llc 75 Village Green Ln, Sicklerville, NJ 08081-1629 Ph: (917) 885-1760 | Trifecta Therapeutics, Llc 107 Rowan Blvd, Glassboro, NJ 08028-2203 Ph: (856) 347-0333 |
Dr. Tara Cox, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Rowan Blvd, Glassboro, NJ 08028 Phone: 856-347-0333 Fax: 856-230-7164 | |
Reach Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 72 Hetton Ct, Glassboro, NJ 08028 Phone: 856-885-0628 | |
Alexander Jordan Pena, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Rowan Blvd, Glassboro, NJ 08028 Phone: 856-347-0333 | |
Jessica Lucas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 N Main St Ste 1, Glassboro, NJ 08028 Phone: 856-307-9700 | |
Mr. John F Donegan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 Victoria St, Glassboro, NJ 08028 Phone: 856-536-1475 | |
Dr. Christopher Michael Carroll, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Rowan Blvd, Glassboro, NJ 08028 Phone: 856-347-0333 | |
Dr. Charles Alden Moore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 N Main St, Glassboro, NJ 08028 Phone: 856-307-9700 Fax: 856-307-0289 |