Basic Information
Provider Information
NPI: 1932653813
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIGGOTT
FirstName: AKIL
MiddleName: ALFONSO
NamePrefix: DR.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1311 MAMARONECK AVE STE 140
Address2:  
City: WHITE PLAINS
State: NY
PostalCode: 106055224
CountryCode: US
TelephoneNumber: 8888304125
FaxNumber:  
Practice Location
Address1: 2005 ROUTE 70 E
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080031279
CountryCode: US
TelephoneNumber: 8568741166
FaxNumber: 8568741188
Other Information
ProviderEnumerationDate: 08/09/2016
LastUpdateDate: 10/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800X40QA01709800NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
2251X0800XPT025460PAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
225100000X40QA01709800NJN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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