Active NPIOrganization

Spectrum Physical Therapy And Athletic Training LLC

Physical Therapist, Sports in Edgewater, New Jersey

NPI Number1417140906
Practice location
968 River RD, 2ND Floor, Edgewater, NJ 07020-2237
Fax
201-731-5192
Last updated
August 26, 2008

Spectrum Physical Therapy And Athletic Training LLC is a healthcare organization based in Edgewater, NJ. Spectrum Physical Therapy And Athletic Training LLC practices in Edgewater, NJ. The NPI Number for Spectrum Physical Therapy And Athletic Training LLC is 1417140906 and holds a License No. NJ40QA01107700 (NJ). The current practice location address for Spectrum Physical Therapy And Athletic Training LLC is 968 River RD, 2ND Floor, Edgewater, NJ 07020-2237 and can be reached out via phone at 201-937-3600 and via fax at 201-731-5192.

Provider Profile Details

NPI Number
1417140906
Provider Name
Spectrum Physical Therapy And Athletic Training LLC
Provider Entity Type
Organization
Address
968 River RD, 2ND Floor, Edgewater, NJ 07020-2237
Phone Number
201-937-3600
Fax Number
201-731-5192
Primary Taxonomy
Physical Therapist, Sports · 2251S0007X
Organization Subpart
No
Authorized Official
Dr. Gregory R. Zacccone, PT, DPT, MSPT, SCS · President · 201-937-3600
Provider Enumeration Date
August 20, 2007
Last Update Date
August 26, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
968 River RD
2ND Floor
Edgewater, NJ 07020-2237
Zip
07020-2237
Phone Number
201-937-3600
Fax Number
201-731-5192
Edgewater, NJ 07020Get directions →

Provider Business Mailing Address Details

Address
1203 River RD Apt 5K
Edgewater, NJ 07020-1442
City
Edgewater
State
NJ
Zip
07020-1442
Phone Number
201-937-3600
Fax Number
201-731-5192

License Information

License Number
NJ40QA01107700
License State
NJ
Taxonomy
Physical Therapist, Sports · 2251S0007X · 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 Spectrum Physical Therapy And Athletic Training LLC?

The NPI number of Spectrum Physical Therapy And Athletic Training LLC is 1417140906. It was assigned on August 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Spectrum Physical Therapy And Athletic Training LLC?

Spectrum Physical Therapy And Athletic Training LLC is registered under the primary taxonomy Physical Therapist, Sports (code 2251S0007X), licensed in NJ under license number NJ40QA01107700.

Where does Spectrum Physical Therapy And Athletic Training LLC practice?

The practice location is 968 River RD, 2ND Floor, Edgewater, NJ 07020-2237. The office can be reached at 201-937-3600 (phone) or 201-731-5192 (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 1417140906 directly on the NPPES registry website.

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