MEDICARE: LORRAINE KRIZ-CORTES P.T.A

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	225200000X	Physical Therapy Assistant	40QB00008600	NJ

General Provider Information

NPI Number	:	1245598382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRAINE KRIZ-CORTES P.T.A

Provider Business Mailing Address
First Line	:	364 ACACIA RD
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2002
Country	:	US
Telephone Number	:	908-389-1984
Fax Number	:

Provider Business Practice Location Address
First Line	:	364 ACACIA RD
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2002
Country	:	US
Telephone Number	:	908-389-1984
Fax Number	:

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

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	01/25/2026

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