Healthcare Provider Details

I. General information

NPI: 1831102888
Provider Name (Legal Business Name): WEST MILFORD PHYSICAL THERAPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 MACOPIN RD SUITE E
WEST MILFORD NJ
07480-1900
US

IV. Provider business mailing address

2024 MACOPIN RD SUITE E
WEST MILFORD NJ
07480-1900
US

V. Phone/Fax

Practice location:
  • Phone: 973-728-5588
  • Fax: 973-728-0928
Mailing address:
  • Phone: 973-728-5588
  • Fax: 973-728-0928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00411000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00411100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberQA01121
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberQA02639
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberCO1517278751622
License Number StateNJ

VIII. Authorized Official

Name: MRS. ANNE F. KANE
Title or Position: OWNER / OPERATOR
Credential: PT
Phone: 973-728-5588