Provider Demographics
NPI:1730486994
Name:BELIVEAU, NANCY F (PT, DPT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:F
Last Name:BELIVEAU
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:F
Other - Last Name:ALARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-0240
Mailing Address - Country:US
Mailing Address - Phone:732-252-6155
Mailing Address - Fax:732-362-4718
Practice Address - Street 1:420 STATE ROUTE 34 STE 317
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-2517
Practice Address - Country:US
Practice Address - Phone:732-252-6155
Practice Address - Fax:732-362-4718
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01387100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ214963ZXJNMedicare PIN