Andrew Atalla
Andrew Atalla is a Physical Therapist in Private Practice in West Orange, New Jersey. Qualified in 2018, 8 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 8
- Licensed in
- NJ
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
622 Eagle Rock Ave Suit 104West Orange, NJ 07052-2994
Phone: (973) 669-0078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40QA01805500 (NJ) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 40QB00311300 (NJ) |
Record details
| NPI number | 1295134468 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 13, 2014 |
| Last updated in NPPES | February 13, 2020 |
| Certification date | February 13, 2020 |
| Mailing address | 622 Eagle Rock Ave, Suit 104, West Orange, NJ 07052-2994 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Jag-One Physical Therapy Llc — 328 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in West Orange
-
Yvonne Gloria Bankole, PTA
1155 Pleasant Valley Way, West Orange, NJ 07052-1424 · (973) 400-3812
-
Nina Isabel Ciezza
456 Prospect Ave Ste C, West Orange, NJ 07052-4112 · (973) 651-5000
-
Mrs. Maureen C Duane-Pfeiffer, PTA
1199 Pleasant Valley Way, West Orange, NJ 07052-1424 · (973) 731-3600
-
Martha Edwards
51 Harrison Ave, West Orange, NJ 07052-5922 · (973) 634-2008