MT. FREEDOM PHYSICAL THERAPY PA (NPI# 1861711905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861711905 |
| Entity Type | Organization |
| Organization Name | MT. FREEDOM PHYSICAL THERAPY PA |
| Practice Address |
10 W Hanover Ave Randolph NJ 07869-4221 |
| Mailing Address |
19 Colby Farm Rd Chester NJ 07930-2645 |
| Practice Telephone | 9088798279 |
| Practice Fax Number | 9088798279 |
| Mailing Telephone | 9088798279 |
| Mailing Fax Number | 9088798279 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-10-12 |
| Authorized Official Name | MR. STEPHEN AIELLO (PRESIDENT) |
| Authorized Official Telephone | 9088798279 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00904300 | NJ | Ambulatory Health Care Facilities |
| Street Address |
10 W HANOVER AVE |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134183460 | Peter James Cetta | Ophthalmology | 10 W Hanover Ave, Ste 103, Randolph, NJ 07869 | 2006-04-13 |
| 1104221381 | Randolph Family & Cosmetic Dentistry | Dentist | 10 W Hanover Ave, Suite 101, Randolph, NJ 07869-4221 | 2014-10-29 |
| 1447539879 | Philip S Messer | Dentist | 10 W Hanover Ave, Suite 101, Randolph, NJ 07869-4221 | 2011-08-16 |
| 1356595946 | The Spa At Randolph LLC | Durable Medical Equipment & Medical Supplies | 10 W Hanover Ave, Suite 106, Randolph, NJ 07869-4221 | 2008-11-09 |
| 1760634083 | Stephen Aiello | Physical Therapist | 10 W Hanover Ave, Randolph, NJ 07869-4221 | 2008-10-17 |
| 1720295132 | Susan Abbott Maitner | Counselor | 10 W Hanover Ave, Suite 113, Randolph, NJ 07869-4221 | 2007-05-16 |
| 1356467096 | John A Stanton | Counselor | 10 W Hanover Ave, Randolph, NJ 07869-4221 | 2007-03-22 |
| 1619078789 | Health Psychology Group, LLC | Registered Nurse | 10 W Hanover Ave, Suite 110, Randolph, NJ 07869-4221 | 2006-09-25 |
| 1952402018 | Jakob Steinberg | Psychologist | 10 W Hanover Ave, Suite 110, Randolph, NJ 07869-4221 | 2006-09-25 |
| 1225144363 | Jack Gershenhorn | Dentist | 10 W Hanover Ave, Suite 101, Randolph, NJ 07869-4221 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1528218633 | Exercise Rx Physical Therapy LLC | Clinic/Center | 15 Pacella Park Dr, Suite 110, Randolph, MA 02368-1700 | 2008-09-25 |
| 1033742218 | Life Is Good Physical Therapy PC | Clinic/Center | 55 Meadowbrook Rd, Randolph, NJ 07869-3800 | 2020-02-17 |
| 1730720822 | Par 5 Physical Therapy | Clinic/Center | 1572 Sussex Tpke Unit D, Randolph, NJ 07869-1822 | 2019-10-01 |
| 1053743211 | Bd Physical Therapy Inc | Clinic/Center | 63 S Main St, Suite A, Randolph, MA 02368-4862 | 2013-07-30 |
| 1023360740 | Whole Health Physical Therapy | Clinic/Center | 765 Route 10 E, Suite 106, Randolph, NJ 07869-1925 | 2012-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.