Healthcare Provider Details

I. General information

NPI: 1033684758
Provider Name (Legal Business Name): PTMAX PHYSICAL THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 01/29/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 W SHERMAN AVE STE 1B
VINELAND NJ
08360-6931
US

IV. Provider business mailing address

227 HADLEIGH DR
CHERRY HILL NJ
08003-1936
US

V. Phone/Fax

Practice location:
  • Phone: 215-278-2229
  • Fax:
Mailing address:
  • Phone: 215-531-4353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ERUM KHAN
Title or Position: OWNER
Credential: DPT
Phone: 215-530-2475