Provider Demographics
NPI:1447339247
Name:GRAMATA, DENNIS J (PT, MPT)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:J
Last Name:GRAMATA
Suffix:
Gender:M
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROSSMOOR DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1566
Mailing Address - Country:US
Mailing Address - Phone:609-860-9913
Mailing Address - Fax:609-860-9915
Practice Address - Street 1:1 ROSSMOOR DR
Practice Address - Street 2:SUITE 203
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-1566
Practice Address - Country:US
Practice Address - Phone:609-860-9913
Practice Address - Fax:609-860-9915
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00817300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ084723TC6Medicare PIN