Robert D Bazley, PT
Individual provider Active NPI Physical Therapist · West Long Branch, NJ
NPI 1992789622 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992789622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- QA02727 (NJ)
- Practice address
- 16 Cooper Ave
West Long Branch, NJ 07764-1214 - Phone
- (732) 263-9474
- Fax
- (732) 263-9475
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bazley Physical Therapy Associates | Physical Therapist | Past | Accepting new patients |
| Eastern Monmouth Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA02727 | NJ | Yes |
Addresses
Primary practice location
16 Cooper Ave
West Long Branch, NJ 07764-1214
Mailing address
16 Cooper Ave
West Long Branch, NJ 07764-1214
Phone (732) 263-9474
Other providers in West Long Branch, NJ
- Margaret M Bartley
- Victoria Battiato
- Michelle Bayha
- Bazley Physical Therapy Associates
- Lisa Connelly Bazley
- Deborah Berger
- Gladys Bernabe Crasta
- Saul Betesh
- Biofeedback and Stress Relief Services LLC
- Camille Bivas
All providers in West Long Branch, 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 Jul 8, 2007. 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.