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NPI 1225781800

NPI 1225781800 : JOSHUA BREIGHNER PT, DPT : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1225781800
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA BREIGHNER PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/02/2022
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    Last Update Date     |    04/17/2025
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Provider Practice Location Address
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    Address Line         |    345 PARK AVE S 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10010-1707
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    Country              |    US
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    Telephone            |    646-448-4787
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    159 BELVIDERE AVE 
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    City                 |    FANWOOD
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    State                |    NJ
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    Zip                  |    07023-1601
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    40QA01944800
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    053295
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    License Number State |    NY
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