Provider Demographics
NPI:1255688164
Name:GAMRAT, JAMES EUGENE (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EUGENE
Last Name:GAMRAT
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 ROUTE 23 SOUTH
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1025
Mailing Address - Country:US
Mailing Address - Phone:570-278-1101
Mailing Address - Fax:570-278-1102
Practice Address - Street 1:901 ROUTE 23 SOUTH
Practice Address - Street 2:2ND FLOOR
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1025
Practice Address - Country:US
Practice Address - Phone:570-278-1101
Practice Address - Fax:570-278-1102
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01711200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist