Provider Demographics
NPI:1235160029
Name:ORLANDO, ANTHONY L (PT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:L
Last Name:ORLANDO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5517
Mailing Address - Country:US
Mailing Address - Phone:201-876-0001
Mailing Address - Fax:815-331-0905
Practice Address - Street 1:1321 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5517
Practice Address - Country:US
Practice Address - Phone:201-876-0001
Practice Address - Fax:815-331-0905
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA09457225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ047421RCUMedicare PIN