WILL STANABACK (NPI# 1962998427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962998427 |
| Entity Type | Individual |
| Full Name | WILL STANABACK |
| Credential | PT, DPT |
| Practice Address |
140 Park Ave Florham Park NJ 07932-1049 |
| Practice Telephone | 9082778967 |
| Mailing Telephone | 9082778967 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01792500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
140 PARK AVE |
| City | FLORHAM PARK |
| State | NJ |
| Zip Code | 07932-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536222 | John Tyler Indrikovic | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2019-09-06 |
| 1194387944 | Summit Medical Group Pa | Clinic/Center | 140 Park Ave, Florham Park, NJ 07932-1049 | 2019-07-02 |
| 1730697921 | Yoonie Kim | Nurse Practitioner | 140 Park Ave, Florham Park, NJ 07932-1049 | 2018-01-22 |
| 1356868939 | Amy Dougan | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2017-08-24 |
| 1962958959 | Jennifer C. Sasso | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2016-08-30 |
| 1437513603 | Charles Becker | Family Medicine | 140 Park Ave, Florham Park, NJ 07932-1049 | 2016-04-13 |
| 1528434388 | Karan Pal | Physician Assistant | 140 Park Ave, Florham Park, NJ 07932-1049 | 2015-08-17 |
| 1477938348 | Jessica Moore | Physical Therapist | 140 Park Ave, Florham Park, NJ 07940 | 2015-07-21 |
| 1356722268 | Mary Carrillo | Registered Nurse | 140 Park Ave, Florham Park, NJ 07932-1049 | 2015-06-16 |
| 1174925911 | Brooke Hotaling | Physician Assistant | 140 Park Ave, Florham Park, NJ 07932 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1780174524 | Ghada Cieri | Registered Nurse | 30 B Vreeland Road, Suite 200, Florham Park, NJ 07932 | 2018-05-17 |
| 1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
| 1942756580 | Elizabeth Savino | Social Worker | 10 Hanover Road, Florham Park, NJ 07932 | 2016-09-01 |
| 1790182426 | John A Carollo Dmd Pa | Clinic/Center | 131 Columbia Turnpike, Suite 2a, Florham Park, NJ 07932 | 2014-11-24 |
| 1306265673 | Rachel Myra Fitz | Anesthesiology | 30b Vreeland Rd Ste 200, Florham Park, NJ 07932 | 2014-04-15 |
| 1922442615 | Allison Ann Sopko | Pediatrics | 195 Columbia Tpke Ste 105, Florham Park, NJ 07932 | 2013-04-24 |
| 1770869315 | Nexpc1 LLC | Internal Medicine | 128 Columbia Turnpike, Suite 101, Florham Park, NJ 07932 | 2011-10-27 |
| 1528356391 | Daniel Timothy Streeter | Physical Therapist | 30 Vreeland Rd., Building A Suite #110, Florham Park, NJ 07932 | 2011-07-14 |
| 1558672964 | Anna Marie Seavey | Dietitian, Registered | 83 Hanover Road, Suite 190, Florham Park, NJ 07932 | 2010-06-30 |
| Find all providers in zip 07932 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811479124 | Brandon Sean Coveney | Physical Therapist | 171 Ridgedale Ave, Florham Park, NJ 07932-1764 | 2018-09-04 |
| 1982185286 | Marianette Abapo | Physical Therapist | 171 Ridgedale Ave Ste A, Florham Park, NJ 07932-1764 | 2018-08-24 |
| 1487702791 | Four Corners Physical Therapy, LLC | Physical Therapist | 17 Hanover Rd, Building 300, Florham Park, NJ 07932-1411 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
| 1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
| 1871104463 | Katja Zeisler | Physical Therapist | 395 Grand St Fl 3, Jersey City, NJ 07302-4238 | 2020-08-16 |
| 1760007256 | Strongholistics, LLC | Physical Therapist | 105 Grove St Ste 14, Montclair, NJ 07042-4053 | 2020-06-10 |
| 1255951877 | Physiopros Physical Therapy & Wellness | Physical Therapist | 49 Overlook Rd, Morristown, NJ 07960-5805 | 2020-04-23 |
| 1730715038 | Sabrina Casares | Physical Therapist | 770 Lighthouse Dr Unit 170, Barnegat, NJ 08005-2373 | 2020-03-18 |
| 1750912820 | Brianna Carri, Pt, Dpt LLC | Physical Therapist | 32 Deanna Dr Apt 66, Hillsborough, NJ 08844-4851 | 2020-01-28 |
| 1265071187 | Ashley Mak Performance and Rehabilitation, PC | Physical Therapist | 1320 Adams St Ste B, Hoboken, NJ 07030-2370 | 2019-12-23 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | FLORHAM PARK |
| Zip Code | 07932 |
Please comment or provide details below to improve the information on WILL STANABACK.
| 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.