Provider Demographics
NPI:1891884425
Name:BABBIT, MICHELE C (MPT)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:C
Last Name:BABBIT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:C
Other - Last Name:MELILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:11 EAGLE ROCK AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3167
Mailing Address - Country:US
Mailing Address - Phone:973-887-9000
Mailing Address - Fax:973-887-3816
Practice Address - Street 1:160 E HANOVER AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3150
Practice Address - Country:US
Practice Address - Phone:973-538-7923
Practice Address - Fax:973-538-7248
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01179500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00474414OtherRAIL ROAD MEDICARE
NJP00474414OtherRAIL ROAD MEDICARE