Lesly Y. Albuquerque, PT

Individual provider Active NPI Physical Therapist · Hackettstown, NJ

NPI 1821296971 · NPPES record last updated Oct 30, 2016

Key facts

NPI
1821296971
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA0119210 (NJ)
Practice address
798 Willow Grove St
Hackettstown, NJ 07840-1718
Phone
(908) 852-1430
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120208000102 NJ Practitioner - Physical Therapist in Private Practice 8628235389 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
40QA0119210NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Home Therapy Services,LLC Physical Therapist Current
since Jan 25, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA0119210 NJ Yes

Addresses

Primary practice location

798 Willow Grove St
Hackettstown, NJ 07840-1718

Mailing address

154 Andover Rd
Sparta, NJ 07871-1003
Phone (862) 812-6433

Other providers in Hackettstown, NJ

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

Sources for this page

Verify at the official NPI Registry.