William K Baroutas, P.T.

Individual provider Active NPI Orthopedic Physical Therapist · Ocean, NJ

NPI 1134315211 · NPPES record last updated Sep 21, 2007

Key facts

NPI
1134315211
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
40QB00255100 (NJ)
Practice address
1200 Eagle Ave
Ocean, NJ 07712-7631
Phone
(732) 660-6220
Fax
(732) 660-6221
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
40QB00255100NJMDOrthopedic Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QB00255100 NJ Yes

Addresses

Primary practice location

1200 Eagle Ave
Ocean, NJ 07712-7631

Mailing address

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone (732) 660-6220

Other providers in Ocean, NJ

All providers in Ocean, NJ · Orthopedic Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.