Lincoln Park Physical Therapy and Sports Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00750300 Issued in NJ

Legal business name

LINCOLN PARK PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC

Doing business as

Optimum Health Physical Therapy & Wellness Center

Practice address

212 Main St
Suite B
Lincoln Park, NJ 07035-3700

Phone

(973) 696-2999

Fax

(973) 696-3030

NPI assigned

Nov 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith M. Scott, M.P.T., O.C.S.

Title

Owner/Member

Phone

(973) 696-2999

Specialties & licenses 1

Addresses

Other names 1

• Optimum Health Physical Therapy & Wellness Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1497909469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "address_2": "SUITE B",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070353700",
            "telephone_number": "973-696-2999",
            "fax_number": "973-696-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "address_2": "SUITE B",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070353700",
            "telephone_number": "973-696-2999",
            "fax_number": "973-696-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "973-696-2999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00750300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Health Physical Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Commons Dental Assoc, PA
• Lincoln Park Board of Education
• Lincoln Park Care Center LLC
• Lincoln Park Health Department
• Lincoln Park Hospice
• Lincoln Park Renaissance Rehab. & Nursing Center LLC
• Diane Magee
• Sandra J Mainardi, PTA
• Melissa Marie Manning
• Leon M Marsh

• Physical Therapy Clinic/Center in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.