Healthcare Provider Details

I. General information

NPI: 1659774875
Provider Name (Legal Business Name): THE RECOVERY ROOM PHYSICAL THERAPY AND ATHLETIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 FRANKLIN TPKE STE 220
WALDWICK NJ
07463-1754
US

IV. Provider business mailing address

20 FRANKLIN TPKE STE 220
WALDWICK NJ
07463-1754
US

V. Phone/Fax

Practice location:
  • Phone: 201-885-4200
  • Fax: 201-877-4100
Mailing address:
  • Phone: 201-885-4200
  • Fax: 201-877-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00904900
License Number StateNJ

VIII. Authorized Official

Name: MEGAN A. JURIK
Title or Position: OWNER
Credential: DPT
Phone: 201-885-4200