Professional Orthopedic and Sports Physical Therapy of NJ, LLC

Organization Active NPI Physical Therapist · Spring Lake, NJ

NPI 1780130567 · NPPES record last updated Mar 27, 2018

Key facts

NPI
1780130567
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC
Practice address
1325 Warren Ave
Spring Lake, NJ 07762-2566
Phone
(732) 449-7855
Fax
(732) 449-7856
NPI assigned
Aug 31, 2016
Organization subpart
Yes
Parent organization (as reported)
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.

Authorized official

Name
Kathleen Brush
Title
Credentialing Coordinator Manager
Phone
(631) 359-5859

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Professional Orthopedic and Sports Physical Therapy PC

Specialties & licenses

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

Addresses

Primary practice location

1325 Warren Ave
Spring Lake, NJ 07762-2566

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859

Other providers in Spring Lake, NJ

All providers in Spring Lake, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.