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NPI Code Detail

MEDICARE: IRONBOUND PHYSICAL THERAPY LLC

MEDICARE: IRONBOUND PHYSICAL THERAPY LLC
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1922966712
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRONBOUND PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : PO BOX 1102
Second Line :
City : MOUNTAINSIDE
State : NJ
Zip : 07092-0102
Country : US
Telephone Number : 862-348-9515
Fax Number : 862-437-4274
Provider Business Practice Location Address
First Line : 280 ELM ST
Second Line :
City : NEWARK
State : NJ
Zip : 07105-2604
Country : US
Telephone Number : 862-348-9515
Fax Number : 862-437-4274
Authorized Official
Title or Position : OWNER
Name : ALEX BRITO
Credential : DPT
Telephone Number : 908-274-9000
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “IRONBOUND PHYSICAL THERAPY LLC ” Practice Location

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