Provider Demographics
NPI:1811532336
Name:MACAVINTA, KURT (DPT)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:
Last Name:MACAVINTA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A PLUS PHYSICAL THERAPY CENTERS, LLC
Mailing Address - Street 2:600 SOUTH LIVINGSTON AVE
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-992-0733
Mailing Address - Fax:
Practice Address - Street 1:A PLUS PHYSICAL THERAPY
Practice Address - Street 2:600 S. LIVINGSTON AVE
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-0703
Practice Address - Country:US
Practice Address - Phone:973-992-0733
Practice Address - Fax:973-992-0737
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01899000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist