MEDICARE: ELIZABETH FOYE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40QA02141400	OTHER	NJ	LICENSE

General Provider Information

NPI Number	:	1164164265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH FOYE DPT

Provider Business Mailing Address
First Line	:	307 FOREST ST
Second Line	:
City	:	PEMBROKE
State	:	MA
Zip	:	02359-3729
Country	:	US
Telephone Number	:	781-243-9098
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 DIAMOND SPRING RD
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2204
Country	:	US
Telephone Number	:	973-989-4033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2022
Last Update Date	:	11/18/2022

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