Healthcare Provider Details

I. General information

NPI: 1740190602
Provider Name (Legal Business Name): NEFF PT AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CAMP GREEN LANE RD
GREEN LANE PA
18054-2302
US

IV. Provider business mailing address

25 CAMP GREEN LANE RD
GREEN LANE PA
18054-2302
US

V. Phone/Fax

Practice location:
  • Phone: 631-848-7927
  • Fax:
Mailing address:
  • Phone: 631-848-7927
  • 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: NICOLE NEFF
Title or Position: OWNER/PT
Credential: PT
Phone: 631-848-7927