Healthcare Provider Details

I. General information

NPI: 1710891775
Provider Name (Legal Business Name): THE TRAINING GROUND OCEAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 NJ 35
OAKHURST NJ
07755
US

IV. Provider business mailing address

360 MAIN ST UNIT 15
METUCHEN NJ
08840-7001
US

V. Phone/Fax

Practice location:
  • Phone: 732-579-7399
  • Fax: 732-694-7724
Mailing address:
  • Phone: 732-579-7399
  • Fax: 732-694-7724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CRISTINA ESTREMERA
Title or Position: OWNER
Credential: PT,DPT
Phone: 732-579-7399