MEDICARE: ORLANDO PHYSICAL THERAPY PC

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	174400000X	Specialist	4OQA00945700	NJ

General Provider Information

NPI Number	:	1962536839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORLANDO PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	1321 WASHINGTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-0000
Country	:	US
Telephone Number	:	201-876-0001
Fax Number	:	815-331-0905

Provider Business Practice Location Address
First Line	:	1321 WASHINGTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-0000
Country	:	US
Telephone Number	:	201-876-0001
Fax Number	:	815-331-0905

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	ANTHONY L ORLANDO
Credential	:	P.T
Telephone Number	:	201-876-0001

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	04/17/2013

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