Healthcare Provider Details

I. General information

NPI: 1578071569
Provider Name (Legal Business Name): NMD PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 HORSENECK RD STE LL1
MONTVILLE NJ
07045-9365
US

IV. Provider business mailing address

115 HORSENECK RD STE LL1
MONTVILLE NJ
07045-9365
US

V. Phone/Fax

Practice location:
  • Phone: 973-396-8896
  • Fax: 973-909-7720
Mailing address:
  • Phone: 973-396-8896
  • 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: HETAL SOJITRA
Title or Position: OWNER/DIRECTOR OF PHYSICAL THERAPY
Credential: DPT
Phone: 973-396-8896