Eileen Christine Decaro, DPT
Individual provider Active NPI Physical Therapist · Montague, NJ
NPI 1194914432 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1194914432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01253300 (NJ)
- Practice address
- 452 US Highway 206
Montague, NJ 07827-3045 - Phone
- (973) 293-0010
- Fax
- (973) 293-0018
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01253300 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01253300 | NJ | Yes |
Addresses
Primary practice location
452 US Highway 206
Montague, NJ 07827-3045
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050
Other practice location 1
452 US Highway 206
Montague, NJ 07827
Phone (973) 293-0010
Other practice location 2
90 Mary Jones Rd
Newton, NJ 07860-6465
Phone (973) 945-4160
Other providers in Montague, NJ
- Andover Orthopaedic Surgery
- Lionel Bissainthe
- Tyler Michael Castro
- Jacqueline M Collins
- Heather Dimenno
- Kyrone Doyle
- Terrence A Duddy
- Danny Innamorato
- Paula Jones
All providers in Montague, NJ · Physical Therapist 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 Apr 21, 2021. 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.