Healthcare Provider Details

I. General information

NPI: 1346604121
Provider Name (Legal Business Name): DANIT MACKLIN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLZ STE 100
HACKENSACK NJ
07601-6210
US

IV. Provider business mailing address

2 UNIVERSITY PLZ STE 100
HACKENSACK NJ
07601-6210
US

V. Phone/Fax

Practice location:
  • Phone: 551-888-2282
  • Fax: 201-490-5902
Mailing address:
  • Phone: 201-575-6291
  • Fax: 201-490-5902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00927000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: