Heidi Ackerman, PT

Individual provider Active NPI Physical Therapist · Westfield, NJ

NPI 1497770846 · NPPES record last updated Feb 25, 2020

Key facts

NPI
1497770846
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA00309100 (NJ)
Practice address
1124 South Ave W
Westfield, NJ 07090-1419
Phone
(908) 233-1222
NPI assigned
Jul 13, 2006
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

LicenseStateTypeSpecialty
40QA00309100NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00309100 NJ Yes

Addresses

Primary practice location

1124 South Ave W
Westfield, NJ 07090-1419

Mailing address

PO Box 1014
1180 Raritan Road
Clark, NJ 07066-1014
Phone (732) 855-9751

Other providers in Westfield, NJ

All providers in Westfield, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.