Provider Demographics
NPI:1477804748
Name:PERAGINE, JOSEPH B (PT,DPT, SCS, MSCS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:PERAGINE
Suffix:
Gender:M
Credentials:PT,DPT, SCS, MSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 PRINCETON OVAL
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5336
Mailing Address - Country:US
Mailing Address - Phone:732-294-2700
Mailing Address - Fax:732-294-2568
Practice Address - Street 1:144 PRINCETON OVAL
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5336
Practice Address - Country:US
Practice Address - Phone:732-294-2700
Practice Address - Fax:732-294-2568
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA012850002251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports