Healthcare Provider Details

I. General information

NPI: 1184538027
Provider Name (Legal Business Name): SUNRISE PEDIATRIC THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1009 ARNOLD AVE APT 1B
POINT PLEASANT BORO NJ
08742-2392
US

IV. Provider business mailing address

806 ORCHARD AVE
POINT PLEASANT BEACH NJ
08742-2423
US

V. Phone/Fax

Practice location:
  • Phone: 908-240-0067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGAN CZASZYNSKI
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 908-240-0067