MR. KENNETH A GUZZARDO (NPI# 1730387739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730387739 |
| Entity Type | Individual |
| Full Name | MR. KENNETH A GUZZARDO |
| Credential | PT, DPT, OCS |
| Practice Address |
200 Tuckerton Rd Ste 17 Medford NJ 08055-8806 |
| Practice Telephone | 8563962250 |
| Practice Fax Number | 8568100373 |
| Mailing Telephone | 8563962250 |
| Mailing Fax Number | 8568100373 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2011-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT017218 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PTO017218L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01251600 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 TUCKERTON RD STE 17 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-8806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749117 | Michele Strauss | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2006-04-13 |
| 1629522537 | Jonathan Eaton | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2016-08-09 |
| 1932585411 | David Pasi IIi | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2015-08-06 |
| 1053703272 | Apex Acupuncture Group | Acupuncturist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2015-02-25 |
| 1700219177 | Nicholas Nolan | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2013-08-20 |
| 1902140296 | Jason A Decesari | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2012-11-27 |
| 1952689051 | Nathan Mark Steltz | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2011-07-25 |
| 1538473210 | Ellen Schafer | Pharmacist | 200 Tuckerton Rd, Rite Aid Pharmacy, Medford, NJ 08055-8806 | 2010-08-05 |
| 1215254636 | Brian D Freeman | Pharmacist | 200 Tuckerton Rd, Medford, NJ 08055-8806 | 2010-04-24 |
| 1609057553 | Kevin Phillip Schnitzer | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2007-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659712297 | John A Cumming | Physical Therapist | 1904 Sky Park Dr, Medford, OR 97504-4735 | 2013-07-11 |
| 1417125055 | Elpi Niki Altum | Physical Therapist | 33 Schoolhouse Dr, Medford, NJ 08055-9218 | 2008-02-18 |
| 1962606178 | Dolphin Chiropractic & Orthopedic Physical Therapy Center, LLC | Physical Therapist | 1314 Center Dr, Suite 14, Medford, OR 97501-7908 | 2007-06-12 |
| 1083827406 | Sporthopedics Physical Therapy, PC | Physical Therapist | 1060 Crater Lake Ave., Suite A, Medford, OR 97504 | 2007-05-08 |
| 1912938614 | Scott P Byrd | Physical Therapist | 1060 Crater Lake Ave, Ste A, Medford, OR 97504-2205 | 2006-07-05 |
| 1013961341 | Mark William Butler | Physical Therapist | 128 Route 70, Suite 2c, Medford, NJ 08055-2371 | 2006-05-20 |
| 1265942015 | Sandra Lynn Metwally | Physical Therapist | 707 Murphy Rd, Medford, OR 97504-8425 | 2017-10-06 |
| 1306155882 | John Dante Benedetto | Physical Therapist | 128 Route 70 Ste 2c, Medford, NJ 08055-2371 | 2010-09-30 |
| 1609057553 | Kevin Phillip Schnitzer | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2007-11-20 |
| 1639183445 | Domenic Visocchi | Physical Therapist | 5 High St, Suite 203, Medford, MA 02155-3860 | 2006-07-28 |
| Find all providers in MEDFORD | ||||
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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.