Rosa Abreu-Gallardo
Individual provider Active NPI Physical Therapy Assistant · Bloomfield, NJ
NPI 1104256247 · NPPES record last updated Nov 26, 2013
Key facts
- NPI
- 1104256247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 40QB00256500 (NJ)
- Practice address
- 250 Bloomfield Ave
Bloomfield, NJ 07003 - Phone
- (888) 873-4221
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00256500 | NJ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Diseases North PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00256500 | NJ | Yes |
Addresses
Primary practice location
250 Bloomfield Ave
Bloomfield, NJ 07003
Mailing address
417 N 7TH St
Newark, NJ 07107-1732
Other providers in Bloomfield, NJ
- Hanan Abdelhakim
- Mounir Y Abdelshahid
- Atef Aboulfateh
- Jyothis A. Abraham-Cohen
- Sunil Abraham
- Mohammed A Abuassi
- Acadia Home Health Care LLC
- Acclaim Services
- Egoyibo E Achilike
- Addus Healthcare (New Jersey), Inc
All providers in Bloomfield, NJ · Physical Therapy Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.