Provider Demographics
NPI:1508937012
Name:KATZ, DINA (PT)
Entity Type:Individual
Prefix:MS
First Name:DINA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:SCHWARTZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:814 BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5406
Mailing Address - Country:US
Mailing Address - Phone:201-981-9436
Mailing Address - Fax:
Practice Address - Street 1:814 BARBARA DR
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-5406
Practice Address - Country:US
Practice Address - Phone:201-981-9436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00901900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ150119Medicare PIN