All Garden State Physical Therapy & Sports Medicine Center, Inc.

Organization Active NPI Physical Therapist · Paterson, NJ

NPI 1679599294 · NPPES record last updated Sep 5, 2008

Key facts

NPI
1679599294
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
QA04745 (NJ)
Legal business name
ALL GARDEN STATE PHYSICAL THERAPY & SPORTS MEDICINE CENTER, INC.
Practice address
750 Broadway
Suite B
Paterson, NJ 07514-1332
Phone
(973) 345-1312
Fax
(973) 742-0669
NPI assigned
Jul 15, 2006
Organization subpart
No

Authorized official

Name
Carmen E Chaparro
Title
Vice President
Phone
(973) 345-1312

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

50 Essex St
Ste 101
Rochelle Park, NJ 07662

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X QA04745 NJ Yes

Addresses

Primary practice location

750 Broadway
Suite B
Paterson, NJ 07514-1332

Mailing address

750 Broadway
Suite B
Paterson, NJ 07514-1332
Phone (973) 345-1312

Other identifiers

IdentifierTypeStateIssuer
0026083OtherAETNA
1K7011OtherHEALTH NET

Other providers in Paterson, NJ

All providers in Paterson, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.