MEDICARE: TRI STATE PHYSICAL THERAPY LLC

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	40QA00994900	NJ

General Provider Information

NPI Number	:	1477801892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI STATE PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1235 ROUTE 23 SOUTH
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470
Country	:	US
Telephone Number	:	973-633-6600
Fax Number	:	973-633-1100

Provider Business Practice Location Address
First Line	:	1235 ROUTE 23 SOUTH
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470
Country	:	US
Telephone Number	:	973-633-6600
Fax Number	:	973-633-1100

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	MR. PETER HASTINGS
Credential	:	PT
Telephone Number	:	973-633-6600

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	11/14/2012

Similar Medicare Providers

1730010836 — FRANCES RAO
Practice Location Address:

34 LITTLE POND RD
WAYNE, NJ
07470-3432

Practice Phone: 917-375-1001
Practice Fax:

1538090576 — SABREENA MOOSE PA-C
Practice Location Address:

1680 ROUTE 23 STE 160
WAYNE, NJ
07470-7512

Practice Phone: 973-221-2500
Practice Fax:

1598393316 — NOOR SHAHIN
Practice Location Address:

246 HAMBURG TPKE STE 207
WAYNE, NJ
07470-2160

Practice Phone: 973-653-3366
Practice Fax:

1407788169 — ELITE NEURO DIAGNOSTIC SERVICES
Practice Location Address:

37 HANOVER PL
WAYNE, NJ
07470-3613

Practice Phone: 201-707-4799
Practice Fax:

1265364889 — NEW LIGHT COUNSELING LLC
Practice Location Address:

4 SMITH LN
WAYNE, NJ
07470-5346

Practice Phone: 201-851-2254
Practice Fax:

1770413395 — MARGERITTE CARLSON PA-C
Practice Location Address:

504 VALLEY RD
WAYNE, NJ
07470-3534

Practice Phone: 973-446-7500
Practice Fax:

1295664068 — MRS. MICHELLE N AYVAS-FONTANA FNP STUDENT
Practice Location Address:

300 POMPTON RD
WAYNE, NJ
07470-2103

Practice Phone: 973-720-2000
Practice Fax:

Directions to “TRI STATE PHYSICAL THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.