Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rey Moises Fajardo Vitug, PTA

Individual provider Physical Therapy Assistant · NPI 1538331442

Mr. Rey Moises Fajardo Vitug, PTA is a Physical Therapy Assistant in Orange, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2008
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

560 Berkeley Ave
Orange, NJ 07050-2109
Phone: (973) 672-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00194900 (NJ)

Record details

NPI number1538331442
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 31, 2008
Last updated in NPPESSeptember 20, 2011

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