Proadvantage Physical Therapy Incorporated
Clinic/Center, Physical Therapy in Cliffside Park, New Jersey
1003064452- Practice location
- 200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209
- Phone
- 617-620-2137
- Fax
- —
- Last updated
- March 18, 2026
Proadvantage Physical Therapy Incorporated is a healthcare organization based in Cliffside Park, NJ. Proadvantage Physical Therapy Incorporated practices in Cliffside Park, NJ. The NPI Number for Proadvantage Physical Therapy Incorporated is 1003064452 and holds a License No. 40QA01242600 (NJ). The current practice location address for Proadvantage Physical Therapy Incorporated is 200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209 and can be reached out via phone at 617-620-2137.
Provider Profile Details
- NPI Number
- 1003064452
- Provider Name
- Proadvantage Physical Therapy Incorporated
- Provider Entity Type
- Organization
- Address
- 200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209
- Phone Number
- 617-620-2137
- Primary Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X
- Organization Subpart
- No
- Authorized Official
- Yevgeny Fedosenko · Owner · 617-620-2137
- Provider Enumeration Date
- August 27, 2008
- Last Update Date
- March 18, 2026
- Certification Date
- March 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Winston Dr Apt 119
Cliffside Park, NJ 07010-3209 - City
- Cliffside Park
- State
- New Jersey
- Zip
- 07010-3209
- Phone Number
- 617-620-2137
Provider Business Mailing Address Details
- Address
- 200 Winston Dr Apt 119
Cliffside Park, NJ 07010-3209 - City
- Cliffside Park
- State
- NJ
- Zip
- 07010-3209
License Information
- License Number
- 40QA01242600
- License State
- NJ
- Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Proadvantage Physical Therapy Incorporated?
The NPI number of Proadvantage Physical Therapy Incorporated is 1003064452. It was assigned on August 27, 2008 and is currently active in the NPPES registry.
What is the specialty of Proadvantage Physical Therapy Incorporated?
Proadvantage Physical Therapy Incorporated is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NJ under license number 40QA01242600.
Where does Proadvantage Physical Therapy Incorporated practice?
The practice location is 200 Winston Dr Apt 119, Cliffside Park, NJ 07010-3209. The office can be reached at 617-620-2137 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003064452 directly on the NPPES registry website.