Healthcare Provider Details

I. General information

NPI: 1174322671
Provider Name (Legal Business Name): SARAH HUANG PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 PARK VIEW AVE APT 431
JERSEY CITY NJ
07302-7391
US

IV. Provider business mailing address

18 PARK VIEW AVE APT 431
JERSEY CITY NJ
07302-7391
US

V. Phone/Fax

Practice location:
  • Phone: 541-829-3051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02252600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number40QA02252600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: