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

Mr. Reggie C Mattappallil, PTA

Individual provider Skilled Nursing Facility · NPI 1093935595

Mr. Reggie C Mattappallil, PTA is a Skilled Nursing Facility in West Caldwell, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

459 Passaic Ave
West Caldwell, NJ 07006-7457
Phone: (973) 276-7887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (NJ)

Record details

NPI number1093935595
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 8, 2007

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