Provider Demographics
NPI:1770860397
Name:MORSTATT, DANA CASEY (DPT)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:CASEY
Last Name:MORSTATT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:CASEY
Other - Last Name:NAZARECHUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 WHITE RD
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-1315
Mailing Address - Country:US
Mailing Address - Phone:973-464-4046
Mailing Address - Fax:
Practice Address - Street 1:745 STATE ROUTE 17M STE 104
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2663
Practice Address - Country:US
Practice Address - Phone:845-782-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01238400225100000X
NY045521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist