Provider Demographics
NPI:1003979097
Name:BARNETT, JENNIFER ANITA (PT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANITA
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:576 BROADHOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-5002
Mailing Address - Country:US
Mailing Address - Phone:631-359-5859
Mailing Address - Fax:631-396-0865
Practice Address - Street 1:201 DURHAM AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080
Practice Address - Country:US
Practice Address - Phone:908-205-8625
Practice Address - Fax:908-205-8749
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ40QA004368002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic