IndividualActive
Andrew Reissig, PTA
NPI 1003552266 · Physical Therapy Assistant · Wyckoff, NJ
Provider details
- NPI number
- 1003552266
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QB00196400 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Phone: (201) 824-5624
Approximate (ZIP-level) locationGet directions
Mailing address
64 E Johnson Ave
Bergenfield, NJ 07621-1817
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2022-05-10
- Certified
- 2022-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.