Provider Demographics
NPI:1619512357
Name:AMER, OMAR (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:AMER
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-3607
Mailing Address - Country:US
Mailing Address - Phone:908-577-2333
Mailing Address - Fax:
Practice Address - Street 1:685 ROUTE 70
Practice Address - Street 2:
Practice Address - City:LAKEHURST
Practice Address - State:NJ
Practice Address - Zip Code:08733-2853
Practice Address - Country:US
Practice Address - Phone:322-377-7100
Practice Address - Fax:732-237-3117
Is Sole Proprietor?:No
Enumeration Date:2019-11-15
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X
NJ40QA01908700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic