Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY JUDE BACANAYA, PT
Active Sole ProprietorMR. BRADLEY JUDE BACANAYA, PT is a Physical Therapy Assistant healthcare provider located in CLIFTON, New Jersey. NPI 1558762088 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CLIFTON, NJ
Registration Details
- NPI Number
- 1558762088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2014 (11.889978733041 yrs)
- Last Updated
- Jul 17, 2016
- License
-
40QA01194900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1070 CLIFTON AVESUITE A1CLIFTON, NJ, 070133619Browse NJ providers · Browse ZIP 07013
- Phone
- 9732466565
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CLIFTON, NJ
| Name | Credential | NPI |
|---|---|---|
| CHARO BALAGTAS BODIONGAN | — | 1891746038 |
| BEAU MALIMAS | — | 1134171960 |
| MR. ROBERT MANLEY | MPT | 1962443770 |
| MALVIN MISAEL TORRALBA | P.T. | 1043255565 |
| KEITH ENRIQUEZ | P.T. | 1053341628 |
| MR. JOEY RAINES | DIRECTOR | 1518999085 |
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.