Provider Demographics
NPI:1053306936
Name:SCARPITTO, CATHLEEN (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:
Last Name:SCARPITTO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-3931
Mailing Address - Country:US
Mailing Address - Phone:732-926-9250
Mailing Address - Fax:732-926-9277
Practice Address - Street 1:4500 NEW BRUNSWICK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3870
Practice Address - Country:US
Practice Address - Phone:732-926-9250
Practice Address - Fax:732-926-9277
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQAO3209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJQAO3209OtherNJ LICENSE#
NJ004002Medicare ID - Type Unspecified