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

Roland Latiz-Hackett

Individual provider Physical Therapist · NPI 1629552591

Roland Latiz-Hackett is a Physical Therapist in Edison, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018

Practice location Address checks out

3830 Park Ave Ste 202
Edison, NJ 08820-2562
Phone: (732) 494-0895
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01822300 (NJ)

Record details

NPI number1629552591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018
Mailing address3830 Park Ave Ste 202, Edison, NJ 08820-2562

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