Provider Demographics
NPI:1629085584
Name:LAMBERT, BRAD W (MPT, CSCS)
Entity Type:Individual
Prefix:MR
First Name:BRAD
Middle Name:W
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:100 THE AMERICAN RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2443
Mailing Address - Country:US
Mailing Address - Phone:973-455-0254
Mailing Address - Fax:973-455-0256
Practice Address - Street 1:100 THE AMERICAN RD
Practice Address - Street 2:SUITE 114
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2443
Practice Address - Country:US
Practice Address - Phone:973-455-0254
Practice Address - Fax:973-455-0254
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00925300225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic