IndividualActive
Barry Wachtler, PTA
NPI 1114026176 · Physical Therapy Assistant · West Orange, NJ
Provider details
- NPI number
- 1114026176
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QB00206700 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1500 Pleasant Valley Way
Suite 102
West Orange, NJ 07052-2956
Phone: (973) 325-3422
Fax: (973) 325-0825
Approximate (ZIP-level) locationGet directions
Mailing address
161 Millburn Ave
Millburn, NJ 07041-1825
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.