MEDICARE: NEXT LEVEL PERFORMANCE AND 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	171100000X	Acupuncturist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1770218943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT LEVEL PERFORMANCE AND PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1161 ROUTE 23 STE 4
Second Line	:
City	:	KINNELON
State	:	NJ
Zip	:	07405-2015
Country	:	US
Telephone Number	:	973-494-8119
Fax Number	:	973-494-8163

Provider Business Practice Location Address
First Line	:	1161 ROUTE 23 STE 4
Second Line	:
City	:	KINNELON
State	:	NJ
Zip	:	07405-2015
Country	:	US
Telephone Number	:	973-494-8119
Fax Number	:	973-494-8163

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TYLER MORANDO
Credential	:	PT
Telephone Number	:	973-903-3537

Provider Enumeration Date	:	07/20/2022
Last Update Date	:	08/13/2025

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