Active NPIOrganization

Garden State Physical Therapy And Wellness Center LLC

Clinic/Center, Physical Therapy in Elizabeth, New Jersey

NPI Number1093855322
Practice location
700 N Broad St Ste 102, Elizabeth, NJ 07208-2310
Fax
908-659-9229
Last updated
June 21, 2018

Garden State Physical Therapy And Wellness Center LLC is a healthcare organization based in Elizabeth, NJ. Garden State Physical Therapy And Wellness Center LLC practices in Elizabeth, NJ. The NPI Number for Garden State Physical Therapy And Wellness Center LLC is 1093855322 and holds a License No. 40QA00504100 (NJ). The current practice location address for Garden State Physical Therapy And Wellness Center LLC is 700 N Broad St Ste 102, Elizabeth, NJ 07208-2310 and can be reached out via phone at 908-354-1511 and via fax at 908-659-9229.

Provider Profile Details

NPI Number
1093855322
Provider Name
Garden State Physical Therapy And Wellness Center LLC
Provider Entity Type
Organization
Address
700 N Broad St Ste 102, Elizabeth, NJ 07208-2310
Phone Number
908-354-1511
Fax Number
908-659-9229
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Mrs. Olfea Digamon Mangle, PT · President · 908-354-1511
Provider Enumeration Date
February 7, 2007
Last Update Date
June 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 N Broad St Ste 102
Elizabeth, NJ 07208-2310
Zip
07208-2310
Phone Number
908-354-1511
Fax Number
908-659-9229
Elizabeth, NJ 07208Get directions →

Provider Business Mailing Address Details

Address
700 N Broad St Ste 102
Elizabeth, NJ 07208-2310
City
Elizabeth
State
NJ
Zip
07208-2310
Phone Number
908-354-1511
Fax Number
908-659-9229

License Information

License Number
40QA00504100
License State
NJ
Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Garden State Physical Therapy And Wellness Center LLC?

The NPI number of Garden State Physical Therapy And Wellness Center LLC is 1093855322. It was assigned on February 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Garden State Physical Therapy And Wellness Center LLC?

Garden State Physical Therapy And Wellness Center LLC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NJ under license number 40QA00504100.

Where does Garden State Physical Therapy And Wellness Center LLC practice?

The practice location is 700 N Broad St Ste 102, Elizabeth, NJ 07208-2310. The office can be reached at 908-354-1511 (phone) or 908-659-9229 (fax).

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 1093855322 directly on the NPPES registry website.

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