MEDICARE: PROACTIVITY FITNESS PHYSICAL THERAPY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1265038160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROACTIVITY FITNESS PHYSICAL THERAPY ASSOCIATES

Provider Business Mailing Address
First Line	:	1250 STATE ROUTE 31
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-3238
Country	:	US
Telephone Number	:	908-730-6640
Fax Number	:	908-730-0468

Provider Business Practice Location Address
First Line	:	1250 STATE ROUTE 31
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-3238
Country	:	US
Telephone Number	:	908-730-6640
Fax Number	:	908-730-0468

Authorized Official
Title or Position	:	DIRECTOR OF CLINICAL OPERATIONS
Name	:	DR. JUSTIN SCOTT BAGLEY
Credential	:	PT, DPT
Telephone Number	:	908-730-6640

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	12/07/2020

Similar Medicare Providers

1457356735 — PRO-ACTIVITY REHABILITATION ASSOCIATES, LLC
Practice Location Address:

1250 STATE ROUTE 31
LEBANON, NJ
08833-3238

Practice Phone: 908-730-6640
Practice Fax: 908-730-0468

1982715637 — DR. JUSTIN SCOTT BAGLEY PT, DPT
Practice Location Address:

1250 STATE ROUTE 31
LEBANON, NJ
08833-3238

Practice Phone: 908-730-6640
Practice Fax:

1801677968 — LAYLA DARIAN
Practice Location Address:

1250 STATE ROUTE 31
LEBANON, NJ
08833-3238

Practice Phone: 908-730-6640
Practice Fax:

1962771311 — MELISSA L. DONOVAN MS, CCC-SLP
Practice Location Address:

1128 RT 31 NORTH
LEBANON, NJ
08833

Practice Phone: 908-652-4403
Practice Fax: 908-652-2010

1639659311 — GARDEN STATE AAC SPECIALISTS, LLC
Practice Location Address:

1128 RT 31 NORTH
LEBANON, NJ
08833

Practice Phone: 908-652-4403
Practice Fax: 908-652-2010

1932451713 — MS. CAITLIN MARGARET JUNIO OTR
Practice Location Address:

36 CHALFONTE DR
LEBANON, NJ
08833-4018

Practice Phone: 908-472-7466
Practice Fax:

Directions to “PROACTIVITY FITNESS PHYSICAL THERAPY ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.