Healthcare Provider Details

I. General information

NPI: 1104748441
Provider Name (Legal Business Name): STEPWELL INSTITUTE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BETHAY COMMONS
HAZLET NJ
07730-0000
US

IV. Provider business mailing address

1 BETHANY RD STE 21
HAZLET NJ
07730-1660
US

V. Phone/Fax

Practice location:
  • Phone: 347-543-7236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA RUBIN
Title or Position: OWNER
Credential: DPT
Phone: 347-543-7236