Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David De la Fuente, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1861594111

Dr. David De la Fuente, PT, DPT, CSCS is a Physical Therapist in Private Practice in Clark, New Jersey. Qualified in 2005, 21 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
21
Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

77 Brant Ave Ste 101
Clark, NJ 07066-1560
Phone: (732) 499-4540
Fax: (732) 499-4577
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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 40QA01170400 (NJ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 40QA01170400 (NJ)

Record details

NPI number1861594111
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedSeptember 5, 2006
Last updated in NPPESFebruary 7, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Jag-One Physical Therapy Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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