Keri Bratcher, PT, MPT
Individual provider Active NPI Physical Therapist · Park Ridge, NJ
NPI 1407855166 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1407855166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- QA06606 (NJ)
- Practice address
- 49 Fairview Ave
Park Ridge, NJ 07656-1435 - Phone
- (201) 000-0000
- NPI assigned
- Jul 15, 2005
- 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 |
|---|---|---|---|
| QA06606 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA06606 | NJ | Yes |
Addresses
Primary practice location
49 Fairview Ave
Park Ridge, NJ 07656-1435
Mailing address
49 Fairview Avenue
Park Ridge, NJ 07656
Other providers in Park Ridge, NJ
- Jorge Becerra
- Ava Luciana Berenato
- Blooming Health LLC
- Blooming Health LLC
- Stephanie Blum
- Evalynne Velez Braun
- Joseph Adams Braun
- Nancy Broderick
- Dana Brodhecker
- Deborah Renee Brodt Donnelly
All providers in Park Ridge, 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 Sep 1, 2011. 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.