Annie-Rhea Valenzuela Pimentel, PT, PTRP

Individual provider Active NPI Physical Therapist · Andover, NJ

NPI 1942531785 · NPPES record last updated Jan 12, 2017

Key facts

NPI
1942531785
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01339200 (NJ)
Practice address
99 Mulford Rd
Andover, NJ 07821-2600
Phone
(862) 273-2407
NPI assigned
Jan 19, 2010
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
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
40QA01339200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PMK Rehab,LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01339200 NJ Yes

Addresses

Primary practice location

99 Mulford Rd
Andover, NJ 07821-2600

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958

Other providers in Andover, NJ

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

Sources for this page

Verify at the official NPI Registry.