Healthcare Provider Details
I. General information
NPI: 1689567166
Provider Name (Legal Business Name): COMPREHENSIVE ORTHOPEDIC PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
745 ROUTE 46 UNIT 7
PARSIPPANY NJ
07054-3410
US
IV. Provider business mailing address
745 ROUTE 46 UNIT 7
PARSIPPANY NJ
07054-3410
US
V. Phone/Fax
- Phone: 347-744-3929
- Fax:
- Phone: 347-744-3929
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GOPALBHAI
PATEL
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 347-744-3929