John Thomas Diffily, PT
Individual provider Active NPI Physical Therapist · Branchville, NJ
NPI 1497976856 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497976856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA00185100 (NJ)
- Practice address
- 403 Pidgeon Hill Rd
Branchville, NJ 07826-5701 - Phone
- (973) 875-3209
- Fax
- (973) 875-6458
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 40QA00185100 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00185100 | NJ | Yes |
Addresses
Primary practice location
403 Pidgeon Hill Rd
Branchville, NJ 07826-5701
Mailing address
403 Pidgeon Hill Rd
Branchville, NJ 07826-5701
Phone (973) 875-3209
Other providers in Branchville, NJ
- Lauren Cherny
- Megan Christine Cody
- Maria S Cunico
- Danny'S World LLC
- Anthony A Depaola
- Grace Engels
- Evermay at Branchville, LLC
- Frankford TWP BD of Educ
- Courtney Elann Gardepe
- Good Vibes Counseling Center
All providers in Branchville, 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 Jul 8, 2007. 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.