MEDICARE: DR. ROBERT LETIZIA 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	2251X0800X	Orthopedic Physical Therapist	40QA00975100	NJ

General Provider Information

NPI Number	:	1801047717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LETIZIA DPT

Provider Business Mailing Address
First Line	:	601 HAMBURG TPKE STE 103
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2049
Country	:	US
Telephone Number	:	973-689-7123
Fax Number	:	973-840-7143

Provider Business Practice Location Address
First Line	:	601 HAMBURG TPKE STE 103
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2049
Country	:	US
Telephone Number	:	973-595-6066
Fax Number	:	973-595-1127

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

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	01/21/2026

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Directions to “ DR. ROBERT LETIZIA DPT” Practice Location

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