Healthcare Provider Details

I. General information

NPI: 1275770984
Provider Name (Legal Business Name): TURNING POINT SPORTS PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 07/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ROUTE 9 N 202
WOODBRIDGE NJ
07095-1215
US

IV. Provider business mailing address

1000 ROUTE 9 N 202
WOODBRIDGE NJ
07095-1215
US

V. Phone/Fax

Practice location:
  • Phone: 917-848-3858
  • Fax:
Mailing address:
  • Phone: 917-848-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number40QA01274300
License Number StateNJ

VIII. Authorized Official

Name: ALEX SEKIRIN
Title or Position: OWNER
Credential: MPT
Phone: 917-848-3858