MRS. BETH ABBOTT PELLETIER (NPI# 1124688809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124688809 |
| Entity Type | Individual |
| Full Name | MRS. BETH ABBOTT PELLETIER |
| Other Name | MS. BETH ANNE ABBOTT |
| Credential | ATC |
| Practice Address |
605 Main St Hackensack NJ 07601-5914 |
| Mailing Address |
103 Bowers St Fl 1 Jersey City NJ 07307-2007 |
| Practice Telephone | 2014880488 |
| Mailing Telephone | 6094253200 |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT004941 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Bowers St Fl 1, Jersey City, NJ 073072007 | 6094253200 |
| Street Address |
605 MAIN ST |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102481 | Christy Mccann | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2020-10-26 |
| 1518599331 | Andrew Justin Foo | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2020-02-10 |
| 1083263982 | Bo Blaine Gumalo | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2019-09-04 |
| 1821575283 | Erin Mcgovern | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2018-07-27 |
| 1205341922 | John Joseph Thievon | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2017-12-04 |
| 1326565706 | Evan O'brien | Physical Medicine & Rehabilitation | 605 Main St, Hackensack, NJ 07601-5914 | 2017-08-25 |
| 1720503444 | Mark Bradford Holmes | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2017-08-03 |
| 1609325190 | Justin Balavram | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2016-09-26 |
| 1174072706 | Peter Cuviello | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2016-09-23 |
| 1376099168 | Holly S Sandelands | Physical Therapist | 605 Main St, Hackensack, NJ 07601-5914 | 2016-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104275064 | Kelsey Vander Werff | Specialist/Technologist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2016-06-10 |
| 1407963549 | Kristy Ann Sawicki | Specialist/Technologist | 360 Essex St, Suite 303, Hackensack, NJ 07601-8550 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255824 | Jennifer Druckman | Specialist/Technologist | 5 Rosedale Ter, Livingston, NJ 07039-3203 | 2020-11-03 |
| 1265033765 | Mariah Jade Hubbard | Specialist/Technologist | 13 Stoneybrook Dr Apt 11, Absecon, NJ 08201-4340 | 2020-11-03 |
| 1356941975 | Tyler Cahill | Specialist/Technologist | 10 Deshibe Ter, Vineland, NJ 08360-4902 | 2020-11-01 |
| 1821698606 | Elena Vaughan | Specialist/Technologist | 32 N Syracuse Dr, Cherry Hill, NJ 08034-1229 | 2020-10-29 |
| 1235736612 | Nicholas Christos Ratigan | Specialist/Technologist | 900 Parkway Ave, Ewing, NJ 08618-2390 | 2020-10-08 |
| 1265039622 | Jessica Veronica Fittipaldi | Specialist/Technologist | 170 Paulison Ave, Passaic, NJ 07055-4810 | 2020-10-07 |
| 1396352027 | Carolyn Goeckel | Specialist/Technologist | 401 Broadway Unit 28, Barnegat Light, NJ 08006-1616 | 2020-09-27 |
| 1861008914 | Erin Nicole Boccher | Specialist/Technologist | 89 Prestbury Ln, Somerset, NJ 08873-4783 | 2020-09-23 |
| 1174138598 | Adam Carias | Specialist/Technologist | 18 Park View Ave Apt 314, Jersey City, NJ 07302-7381 | 2020-09-11 |
| 1750993432 | Samantha Hummel | Specialist/Technologist | 1906 Hunters Ln, Wall Township, NJ 07719-4625 | 2020-08-23 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.