=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184538027
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUNRISE PEDIATRIC THERAPY AND WELLNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2026
-----------------------------------------------------
Last Update Date | 09/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1009 ARNOLD AVE APT 1B
-----------------------------------------------------
City | POINT PLEASANT BORO
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08742-2392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-240-0067
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 806 ORCHARD AVE
-----------------------------------------------------
City | POINT PLEASANT BEACH
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08742-2423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICAL THERAPIST
-----------------------------------------------------
Name | MEGAN CZASZYNSKI
-----------------------------------------------------
Credential | PT, DPT
-----------------------------------------------------
Telephone | 908-240-0067
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251P0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------