Bimodal Physical Therapy LLC
Organization Active NPI Physical Therapist · Edgewater, NJ
NPI 1093736233 · NPPES record last updated Nov 23, 2013
Key facts
- NPI
- 1093736233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BIMODAL PHYSICAL THERAPY LLC
- Practice address
- 725 River Rd
Ste 107B
Edgewater, NJ 07020-1171 - Phone
- (201) 943-5200
- Fax
- (201) 943-1997
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Inessa Hammershmidt
- Title
- Office Manager
- Phone
- (201) 943-5200
Practitioners 1
-
Carla F. Loaiza, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040812000765 | NJ | Part B Supplier - Clinic/Group Practice | 8426020066 |
Receives reassigned benefits from 1 practitioner Practice locations: Edgewater, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
725 River Rd
Ste 107B
Edgewater, NJ 07020-1171
Mailing address
725 River Rd
Ste 107B
Edgewater, NJ 07020-1171
Phone (201) 943-5200
Other providers in Edgewater, NJ
- Justin Behnke
- Areej Belal
- Belight Eyecare LLC
- Gregory Belok
- Shweta Bhesania
- Steven Blaustein
- Bliss Chiropractic and Rehab Clinic PC
- Boro of Edgewater
- Borough of Edgewater
- Anna Adeeb Botros
All providers in Edgewater, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.