Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EMERSON MEDRANO MATEO, DR PHYSICAL THERAPY
Active Sole ProprietorDR. EMERSON MEDRANO MATEO, DR PHYSICAL THERAPY is a Physical Therapy Clinic healthcare provider located in TEANECK, New Jersey. NPI 1992755607 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · TEANECK, NJ
Registration Details
- NPI Number
- 1992755607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.279471444238 yrs)
- Last Updated
- Feb 26, 2021
- Licenses
-
024900 (NY)40QA01048000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
453 GLENWOOD AVETEANECK, NJ, 076666405Browse NJ providers · Browse ZIP 07666
- Phone
- 2123654505
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
- Additional Specialty
- Physical Therapy Clinic
Other Physical Therapy Clinic Providers in TEANECK, NJ
| Name | Credential | NPI |
|---|---|---|
| ERICA MARIE TARYLA | — | 1568229607 |
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.