Healthcare Provider Details

I. General information

NPI: 1215856232
Provider Name (Legal Business Name): RIVER EDGE PHYSICAL THERAPY AND PERFORMANCE LAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 MANCHESTER RD
RIVER EDGE NJ
07661-1222
US

IV. Provider business mailing address

259 MANCHESTER RD
RIVER EDGE NJ
07661-1222
US

V. Phone/Fax

Practice location:
  • Phone: 626-215-6534
  • Fax:
Mailing address:
  • Phone:
  • 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: CURTIS WU
Title or Position: PT, DPT
Credential:
Phone: 626-215-6534