Healthcare Provider Details

I. General information

NPI: 1639074677
Provider Name (Legal Business Name): ASPIRE PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BERGEN AVE
JERSEY CITY NJ
07304-2507
US

IV. Provider business mailing address

916 SANFORD AVE FL 1
IRVINGTON NJ
07111-1509
US

V. Phone/Fax

Practice location:
  • Phone: 201-757-6484
  • Fax:
Mailing address:
  • Phone: 201-757-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALICIA JOHN
Title or Position: OWNER
Credential:
Phone: 201-757-6484