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

Natty Bandasak

Individual provider Physical Therapist · NPI 1164964094

Natty Bandasak is a Physical Therapist in Private Practice in East Hanover, New Jersey. Qualified in 2013, 13 years ago. Practices with Natty Bandasak Physio Performance, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2016

Practice location Address checks out

55 Eagle Rock Ave
East Hanover, NJ 07936-3143
Phone: (201) 561-4681
Fax: (949) 561-4171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01701300 (NJ)

Record details

NPI number1164964094
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 9, 2016
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Natty Bandasak Physio Performance — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Hanover