MRS. MARY RACHEL PORTILLO LOZADA (NPI# 1144778606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144778606 |
Entity Type | Individual |
Full Name | MRS. MARY RACHEL PORTILLO LOZADA |
Credential | PT |
Practice Address |
108 S Washington Ave Ste B Bergenfield NJ 07621-2341 |
Practice Telephone | 3155915630 |
Mailing Telephone | 3155915630 |
Enumeration Date | 2016-09-13 |
Last Update Date | 2016-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01671600 | NJ | Ambulatory Health Care Facilities |
Street Address |
108 S WASHINGTON AVE STE B |
City | BERGENFIELD |
State | NJ |
Zip Code | 07621-2341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871510958 | Bergenfield Physical Therapy and Rehabilitation, Inc | Physical Therapist | 108 S Washington Ave Ste B, Bergenfield, NJ 07621-2341 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669952115 | Sublime Therapy | Massage Therapist | 80 N Washington Ave, Unite L4, Bergenfield, NJ 07621 | 2018-08-15 |
1619487824 | Perseverance A Okai Adjetey | Registered Nurse | 23 Lake Street, Bergenfield, NJ 07621 | 2017-10-03 |
1285144469 | Stacie Lynn Morvay | Nurse Practitioner | 129 Liberty Rd Apt B, Bergenfield, NJ 07621 | 2017-10-02 |
1295254308 | Keren Nussbaum | Speech-Language Pathologist | 60 Glenwood Drive S, Bergenfield, NJ 07621 | 2017-09-11 |
1538608450 | Lcn Medical Group | Internal Medicine | 136 N. Washington Ave. Suite 201, Bergenfield, NJ 07621 | 2017-02-13 |
1154782969 | Martine Meleance | Counselor | 386 West Main St, Berganfield, NJ 07621 | 2016-03-08 |
1609257591 | Maria C. Stone, Lcsw, LLC | Social Worker | 29 Legion Drive, Bergenfield, NJ 07621 | 2015-06-16 |
1003219536 | Ismile Dental Associates | Dentist | 22 N Washington Ave., Bergenfield, NJ 07621 | 2014-09-29 |
1710399415 | Maria Rena Penecilla | Registered Nurse | 74 Madison Ave, Bergenfield, NJ 07621 | 2014-05-29 |
1619394954 | Russell L Sadang | Physical Therapist | 103 Carnation St, Bergenfield, NJ 07621 | 2014-03-25 |
Find all providers in zip 07621 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619390861 | Mendores PC | Clinic/Center | 62 Cameron Rd, Bergenfield, NJ 07621-3303 | 2014-01-23 |
1346508934 | Touch One Physical Therapy Corp | Clinic/Center | 155 S Washington Ave, Bergenfield, NJ 07621-2933 | 2012-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
Find all providers with the same taxonomy |
City | BERGENFIELD |
Zip Code | 07621 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.