Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN TYLER INDRIKOVIC, PT, DPT
Deactivated Sole ProprietorJOHN TYLER INDRIKOVIC, PT, DPT is a Physical Therapy Assistant healthcare provider located in FLORHAM PARK, New Jersey. NPI 1710536222 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FLORHAM PARK, NJ
This NPI has been deactivated.
The record was deactivated on September 6, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1710536222
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2019
- Last Updated
- Oct 3, 2019
- Deactivated
- Sep 6, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 PARK AVEFLORHAM PARK, NJ, 079321049Browse NJ providers · Browse ZIP 07932
- Phone
- 9734049840
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FLORHAM PARK, NJ
| Name | Credential | NPI |
|---|---|---|
| PRITI R RAO | M SC PHYSICAL THERAP | 1043242167 |
| JONATHAN DILAURI | MPT | 1841210945 |
| MS. CARLA ENRIQUEZ | PT | 1689683237 |
| DR. LAUREN MCGARRY | PT | 1558466532 |
| MS. DEBRA GOLDMAN | P.T. | 1396834420 |
| ANGELA PAOLA CARDENAS | PT | 1942360839 |
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.