Healthcare Provider Details

I. General information

NPI: 1740743467
Provider Name (Legal Business Name): PARKER CREEK NEUROREHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 OCEANPORT AVE STE 2
LITTLE SILVER NJ
07739-1250
US

IV. Provider business mailing address

54 N PARK AVE
SHREWSBURY NJ
07702-4413
US

V. Phone/Fax

Practice location:
  • Phone: 917-406-0478
  • Fax: 732-219-0979
Mailing address:
  • Phone: 917-406-0478
  • Fax: 732-219-0979

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: DR. ERIN ABIGAIL PIRL
Title or Position: OWNER
Credential: PT, DPT
Phone: 917-406-0478