MEDICARE: THE FLEET

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1659958445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FLEET

Provider Business Mailing Address
First Line	:	550 SYLVAN AVE STE 201A
Second Line	:
City	:	ENGLEWOOD CLIFFS
State	:	NJ
Zip	:	07632-3115
Country	:	US
Telephone Number	:	201-328-4323
Fax Number	:

Provider Business Practice Location Address
First Line	:	166 MAIN ST STE 2
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6922
Country	:	US
Telephone Number	:	201-328-4323
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAIN KIM
Credential	:	DPT
Telephone Number	:	844-333-5338

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	01/14/2025

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Directions to “THE FLEET ” Practice Location

Language	Start Address	Practice Location

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