Healthcare Provider Details

I. General information

NPI: 1609595057
Provider Name (Legal Business Name): BALANCE AND CONCUSSION THERAPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLAZA DRIVE SUITE 100
HACKENSACK NJ
07601
US

IV. Provider business mailing address

440 SAGAMORE AVE
TEANECK NJ
07666-2626
US

V. Phone/Fax

Practice location:
  • Phone: 551-888-2282
  • Fax:
Mailing address:
  • Phone: 551-888-2282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIT MACKLIN
Title or Position: OWNER/DIRECTOR
Credential: PT, DPT
Phone: 551-888-2282