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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAKE GROOTENBOER, P.T.

Active Sole Proprietor

JAKE GROOTENBOER, P.T. is a Physical Therapy Assistant healthcare provider located in PARAMUS, New Jersey. NPI 1275201394 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PARAMUS, NJ

Registration Details

NPI Number
1275201394
Provider Type
Individual
Gender
Male
NPI Issued
Sep 2, 2021 (4.9345871078762 yrs)
Last Updated
Aug 15, 2024
License
40QA02030000 (NJ)
Sole Proprietor
Yes

Practice Information

Address
776 N RTE 17
PARAMUS, NJ, 076523117
Browse NJ providers · Browse ZIP 07652
Phone
2012259222
Fax
2012259223
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PARAMUS, NJ

Name Credential NPI
ROBERT BARKER 1669475984
MR. ALLAN MARK ROTH PT 1649266081
TAYLOR D LEE DPT 1568432011
JANE D QUIJANO LPT 1942278924
ROMELLAH SUNICO RPT 1538113568
SYLVIA CIFELLI RPT 1194779025
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.