Amy Annese, PT
Individual provider Active NPI Physical Therapist · Montvale, NJ
NPI 1891403549 · NPPES record last updated Nov 11, 2022
Key facts
- NPI
- 1891403549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA02135600 (NJ)
- Practice address
- 1 Van Wyck St
Montvale, NJ 07645-1025 - Phone
- (551) 804-2279
- NPI assigned
- Nov 11, 2022
- 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 |
|---|---|---|---|
| 40QA02135600 | NJ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02135600 | NJ | Yes |
Addresses
Primary practice location
1 Van Wyck St
Montvale, NJ 07645-1025
Mailing address
220 Livingston St Ste 108
Northvale, NJ 07647-1739
Phone (201) 564-7515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA02135600 | Other | NJ | PHYSICAL THERAPY NJ LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@dynamicptandsports.net | Direct | DYNAMIC PHYSICAL THERAPY AND SPORTS REHABILITATIONS |
Other providers in Montvale, NJ
- Helaina Altabef
- Morry Altabef
- Saeideh T Ameri
- Amgad Amir
- David Angione
- Arc Dental and Implant Center
- Atlantic in Home Healthcare and Services
- Jacqueline Baboulis-Kuhn
- Belle Joyce Barnes
- Luiza Bauta
All providers in Montvale, 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 Nov 11, 2022. 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.