Healthcare Provider Details

I. General information

NPI: 1225703465
Provider Name (Legal Business Name): MINA D'ARRIGO PT, DPT, CLT, ONCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 WASHINGTON AVE
DUMONT NJ
07628-3066
US

IV. Provider business mailing address

1050 WALL ST W STE 200
LYNDHURST NJ
07071-3615
US

V. Phone/Fax

Practice location:
  • Phone: 201-385-6272
  • Fax: 201-385-7410
Mailing address:
  • Phone: 866-337-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02022400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: