MEDICARE: SPECIALIZED PHYSICAL THERAPY SOLUTIONS

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

General Provider Information

NPI Number	:	1538829684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED PHYSICAL THERAPY SOLUTIONS

Provider Business Mailing Address
First Line	:	8508 NEWKIRK AVE
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-4351
Country	:	US
Telephone Number	:	201-615-3186
Fax Number	:

Provider Business Practice Location Address
First Line	:	8508 NEWKIRK AVE
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-4351
Country	:	US
Telephone Number	:	201-615-3186
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	ADRIAN LORENZO
Credential	:	DPT
Telephone Number	:	201-615-3186

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	12/29/2021

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Directions to “SPECIALIZED PHYSICAL THERAPY SOLUTIONS ” Practice Location

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