Provider Demographics
NPI:1710539978
Name:VERAS, BRIAN (PT, DPT,MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:VERAS
Suffix:
Gender:M
Credentials:PT, DPT,MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 SOWERS DR
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-7625
Mailing Address - Country:US
Mailing Address - Phone:908-328-4318
Mailing Address - Fax:
Practice Address - Street 1:26 N 6TH ST APT 268
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1430
Practice Address - Country:US
Practice Address - Phone:908-328-4318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0073352255A2300X
PAPT0309172251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer