Healthcare Provider Details

I. General information

NPI: 1861966129
Provider Name (Legal Business Name): APEX HOME THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CANTERBURY DR
FREEHOLD NJ
07728-4421
US

IV. Provider business mailing address

40 CANTERBURY DR
FREEHOLD NJ
07728-4421
US

V. Phone/Fax

Practice location:
  • Phone: 201-658-5056
  • Fax:
Mailing address:
  • Phone: 201-658-5056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW ALLEN
Title or Position: MEMBER/DIRECTOR
Credential: PT, DPT
Phone: 201-658-5056