Tiffany Kendig, PT
Individual provider Active NPI Physical Therapist · West Orange, NJ
NPI 1780141762 · NPPES record last updated Feb 26, 2019
Key facts
- NPI
- 1780141762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01776400 (NJ)
- Practice address
- 1199 Pleasant Valley Way
West Orange, NJ 07052-1424 - Phone
- (201) 207-8501
- NPI assigned
- Feb 26, 2019
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025100 | NY | MD | Case Manager/Care Coordinator |
| 40QA01776400 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025100 | NY | |
| Physical Therapist | 225100000X | 40QA01776400 | NJ | Yes |
Addresses
Primary practice location
1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Mailing address
1050 Wall St W Ste 200
Lyndhurst, NJ 07071-3615
Phone (201) 207-8501
Other providers in West Orange, NJ
- Scott Steven Katzman
- Samuel Kaye
- Megan Keane-Tarchichi
- Keith Golin PHD LLC
- Michael Kelly
- Kennedy R Opoku Occupational Therapy PC
- Kerd Pain Management Practice
- Allan Kessel
- Kessler Institute for Rehabilitation
- Kessler Institute for Rehabilitation Inc
All providers in West Orange, 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 Feb 26, 2019. 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.