Healthcare Provider Details

I. General information

NPI: 1790672871
Provider Name (Legal Business Name): POPPY PELVIC HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 PINEFIELD LANE
NEW VERNON NJ
07976
US

IV. Provider business mailing address

PO BOX 551
NEW VERNON NJ
07976-0551
US

V. Phone/Fax

Practice location:
  • Phone: 908-581-7076
  • Fax:
Mailing address:
  • Phone: 908-581-7076
  • Fax:

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: KATHERINE ALBRIGHT
Title or Position: OWNER
Credential: DPT
Phone: 908-581-7076