Healthcare Provider Details

I. General information

NPI: 1528042082
Provider Name (Legal Business Name): REGIONAL PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

586 KEARNY AVE 2 FL
KEARNY NJ
07032-2806
US

IV. Provider business mailing address

586 KEARNY AVE 2 FL
KEARNY NJ
07032-2806
US

V. Phone/Fax

Practice location:
  • Phone: 201-991-9272
  • Fax: 201-991-1532
Mailing address:
  • Phone: 201-991-9272
  • Fax: 201-991-1532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT F LOOBY
Title or Position: PRESIDENT
Credential: PT
Phone: 201-991-9272