Ajay S Mampilly
Ajay S Mampilly is a Physical Therapist in Private Practice in Emerson, New Jersey. Qualified in 2018, 8 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 8
- Licensed in
- NJ
- In the registry since
- 2013
Practice location Address checks out
100 Kinderkamack RdEmerson, NJ 07630-1828
Phone: (888) 493-6415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 40QB00300600 (NJ) |
|---|
Record details
| NPI number | 1073947321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 22, 2013 |
| Last updated in NPPES | August 22, 2013 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Jag-One Physical Therapy Llc — 328 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Emerson
-
Henri Douvry, L/PTA
100 Kinderkamack Rd, Emerson, NJ 07630-1828 · (201) 265-3700
-
Mekola Nodjanosh
30 Highland Ave, Emerson, NJ 07630-1212 · (646) 286-2900