Provider Demographics
NPI:1164928263
Name:ESCARDA, MICHAEL (DPT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:ESCARDA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:LUIS B
Other - Last Name:ESCARDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:1043 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2538
Mailing Address - Country:US
Mailing Address - Phone:732-800-9000
Mailing Address - Fax:732-840-2088
Practice Address - Street 1:1043 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2538
Practice Address - Country:US
Practice Address - Phone:732-800-9000
Practice Address - Fax:732-840-2088
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCP042714T225100000X
VA2305211818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist