Professional Physical Therapy & Training, LLC
Clinic/Center, Physical Therapy in Madison, New Jersey
1629261763- Practice location
- 111 Kings Road, Madison, NJ 07940
- Phone
- 973-270-7417
- Fax
- 973-377-1064
- Last updated
- February 5, 2026
Professional Physical Therapy & Training, LLC is a healthcare organization based in Madison, NJ. Professional Physical Therapy & Training, LLC practices in Madison, NJ. The NPI Number for Professional Physical Therapy & Training, LLC is 1629261763 and holds a License No. 40QA01016000 (NJ). The current practice location address for Professional Physical Therapy & Training, LLC is 111 Kings Road, Madison, NJ 07940 and can be reached out via phone at 973-270-7417 and via fax at 973-377-1064.
Provider Profile Details
- NPI Number
- 1629261763
- Provider Name
- Professional Physical Therapy & Training, LLC
- Provider Entity Type
- Organization
- Address
- 111 Kings Road, Madison, NJ 07940
- Phone Number
- 973-270-7417
- Fax Number
- 973-377-1064
- Primary Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X
- Organization Subpart
- No
- Authorized Official
- Kayla Renee Mariskanish · Billing Administrator · 973-270-7417
- Provider Enumeration Date
- August 22, 2007
- Last Update Date
- February 5, 2026
- Certification Date
- February 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Kings Road
Madison, NJ 07940 - City
- Madison
- State
- New Jersey
- Zip
- 07940
- Phone Number
- 973-270-7417
- Fax Number
- 973-377-1064
Provider Business Mailing Address Details
- Address
- 306 Main St
Suite 12
Madison, NJ 07940-2335 - City
- Madison
- State
- NJ
- Zip
- 07940-2335
- Phone Number
- 973-270-7417
- Fax Number
- 973-270-7417
License Information
- License Number
- 40QA01016000
- 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 Professional Physical Therapy & Training, LLC?
The NPI number of Professional Physical Therapy & Training, LLC is 1629261763. It was assigned on August 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Professional Physical Therapy & Training, LLC?
Professional Physical Therapy & Training, LLC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NJ under license number 40QA01016000.
Where does Professional Physical Therapy & Training, LLC practice?
The practice location is 111 Kings Road, Madison, NJ 07940. The office can be reached at 973-270-7417 (phone) or 973-377-1064 (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 1629261763 directly on the NPPES registry website.