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General NPI Number Information
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NPI Number | 1699423152
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY & SPORTS REHAB GROUP OF NJ, LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 25 S VAN BRUNT ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3497
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Country | US
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Telephone | 201-600-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 25 S VAN BRUNT ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3497
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Country | US
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Telephone | 201-600-0346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADRIAN LORENZO
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Credential |
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Telephone | 201-408-4534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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