Healthcare Provider Details

I. General information

NPI: 1497451322
Provider Name (Legal Business Name): FMS PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 SHREWSBURY AVE
SHREWSBURY NJ
07702-4178
US

IV. Provider business mailing address

555 SHREWSBURY AVE
SHREWSBURY NJ
07702-4178
US

V. Phone/Fax

Practice location:
  • Phone: 732-758-8200
  • Fax: 732-758-8250
Mailing address:
  • Phone: 732-758-8200
  • Fax: 732-758-8250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. FREDERICK CALUYA
Title or Position: OWNER
Credential: PHYSICAL THERAPIST
Phone: 732-758-8200