Provere Physical Therapy - Montclair, LLC
Physical Therapist in Montclair, New Jersey
1831550078- Practice location
- 19 Elm St, Montclair, NJ 07042-3451
- Phone
- 201-485-8971
- Fax
- —
- Last updated
- March 16, 2016
Provere Physical Therapy - Montclair, LLC is a healthcare organization based in Montclair, NJ. Provere Physical Therapy - Montclair, LLC practices in Montclair, NJ. The NPI Number for Provere Physical Therapy - Montclair, LLC is 1831550078. The current practice location address for Provere Physical Therapy - Montclair, LLC is 19 Elm St, Montclair, NJ 07042-3451 and can be reached out via phone at 201-485-8971.
Provider Profile Details
- NPI Number
- 1831550078
- Provider Name
- Provere Physical Therapy - Montclair, LLC
- Provider Entity Type
- Organization
- Address
- 19 Elm St, Montclair, NJ 07042-3451
- Phone Number
- 201-485-8971
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- No
- Authorized Official
- Cedric Haddad · Ceo · 201-485-8971
- Provider Enumeration Date
- March 16, 2016
- Last Update Date
- March 16, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Elm St
Montclair, NJ 07042-3451 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3451
- Phone Number
- 201-485-8971
Provider Business Mailing Address Details
- Address
- 637 Wyckoff Ave
Unit 364
Wyckoff, NJ 07481-1438 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-1438
License Information
- Taxonomy (1)
- Physical Therapist, Sports · 2251S0007X
- Taxonomy (2)
- Physical Therapist, Orthopedic · 2251X0800X
- Taxonomy (3)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Montclair, NJ
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- Brianna PetersonPhysical Therapist · NPI 1295455293
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- Connor J DeringPhysical Therapist · NPI 1124544259
Frequently Asked Questions
What is the NPI number of Provere Physical Therapy - Montclair, LLC?
The NPI number of Provere Physical Therapy - Montclair, LLC is 1831550078. It was assigned on March 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Provere Physical Therapy - Montclair, LLC?
Provere Physical Therapy - Montclair, LLC is registered under the primary taxonomy Physical Therapist (code 225100000X).
Where does Provere Physical Therapy - Montclair, LLC practice?
The practice location is 19 Elm St, Montclair, NJ 07042-3451. The office can be reached at 201-485-8971 (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 1831550078 directly on the NPPES registry website.