Gretchen Armstrong, MSPT

Individual provider Active NPI Physical Therapist · Montclair, NJ

NPI 1629159504 · NPPES record last updated Sep 19, 2007

Key facts

NPI
1629159504
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01002600 (NJ)
Practice address
1 Greenwood Ave
Montclair, NJ 07042-3617
Phone
(973) 746-2424
Fax
(973) 746-5030
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Orthopedics Physical Therapy & Rehab Center II LLC Physical Therapist Past Accepting new patients
MCRC Physical Therapy, LLC Physical Therapist Past
since May 19, 2008
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01002600 NJ Yes

Addresses

Primary practice location

1 Greenwood Ave
Montclair, NJ 07042-3617

Mailing address

811 Pennsylvania Ave
Lyndhurst, NJ 07071-1311
Phone (973) 746-2424

Other identifiers

IdentifierTypeStateIssuer
087328RGNOtherNJMEDICARE ID

Other providers in Montclair, NJ

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

Sources for this page

Verify at the official NPI Registry.