Healthcare Provider Details

I. General information

NPI: 1033273305
Provider Name (Legal Business Name): PLAINFIELD PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 PARK AVE
PLAINFIELD NJ
07060-4229
US

IV. Provider business mailing address

317 PARK AVE
PLAINFIELD NJ
07060-4229
US

V. Phone/Fax

Practice location:
  • Phone: 908-561-0211
  • Fax: 908-561-2210
Mailing address:
  • Phone: 908-561-0211
  • Fax: 908-561-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. KERI FESSLER
Title or Position: ADMIMISTRATOR
Credential:
Phone: 908-561-0211