Healthcare Provider Details

I. General information

NPI: 1841153913
Provider Name (Legal Business Name): MARY ELIZABETH VALENTINO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 HOOPER AVE
TOMS RIVER NJ
08753-8372
US

IV. Provider business mailing address

1500 MEETING HOUSE RD
SEA GIRT NJ
08750-2220
US

V. Phone/Fax

Practice location:
  • Phone: 848-251-5355
  • Fax: 848-224-4462
Mailing address:
  • Phone: 732-784-6545
  • Fax: 732-240-5280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02390600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: