MEDICARE: GO PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1033923222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	23 DICKINSON RD
Second Line	:
City	:	KENDALL PARK
State	:	NJ
Zip	:	08824-1844
Country	:	US
Telephone Number	:	347-334-5103
Fax Number	:	347-334-5703

Provider Business Practice Location Address
First Line	:	3885 NJ-27
Second Line	:	#150B
City	:	PRINCETON
State	:	NJ
Zip	:	08540
Country	:	US
Telephone Number	:	347-334-5103
Fax Number	:	347-334-5703

Authorized Official
Title or Position	:	OWNER
Name	:	OSAMA ALMANASTIRLY
Credential	:	DPT
Telephone Number	:	347-334-5103

Provider Enumeration Date	:	02/06/2025
Last Update Date	:	01/27/2026

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Directions to “GO PHYSICAL THERAPY ” Practice Location

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