Healthcare Provider Details
I. General information
NPI: 1720043474
Provider Name (Legal Business Name): CAPE ATLANTIC PHYSICAL THERAPY,PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
222 NEW RD CENTRAL PARK EAST, BLDG 5, STE 503
LINWOOD NJ
08221-1299
US
IV. Provider business mailing address
222 NEW RD CENTRAL PARK EAST, BLDG 5, STE 503
LINWOOD NJ
08221-1299
US
V. Phone/Fax
- Phone: 609-926-1161
- Fax: 609-926-3223
- Phone: 609-926-1161
- Fax: 609-926-3223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251S0007X |
| Taxonomy | Sports Physical Therapist |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name: MR.
WALTER
A
ZAULYCZNY
Title or Position: PRESIDENT OWNER
Credential: MSPT
Phone: 609-926-1161