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MS. TRACI MARIE O'HARA D.P.T. NPI 1912192055


NPI Information

NPI: 1912192055
Provider Name: MS. TRACI MARIE O'HARA, D.P.T.
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
104 CHESTNUT ST
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 493-8111
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MS. Traci Marie O'hara, D.P.T. is an orthopedic physical therapist in Ridgewood, NJ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. MS. Traci Marie O'hara, D.P.T. NPI is 1912192055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

104 CHESTNUT ST
RIDGEWOOD, NJ
ZIP 07450-502
Phone: (201) 493-8111

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedic40QA00975000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1090448RHZMEDICARE PINNEW JERSEY
2067570OTHERNEW JERSEYMEDICARE PEOVIDER#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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