Provider Demographics
NPI:1366598658
Name:PFLIEGER, ROBIN KAY (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:KAY
Last Name:PFLIEGER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3436 STATE ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2708
Mailing Address - Country:US
Mailing Address - Phone:732-918-7300
Mailing Address - Fax:732-918-7311
Practice Address - Street 1:3436 STATE ROUTE 66
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-2708
Practice Address - Country:US
Practice Address - Phone:732-918-7300
Practice Address - Fax:732-918-7311
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00424600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ052889Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER