DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF N.J., L.L.C.

MEDICARE: PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF N.J., L.L.C.
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1811400492
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF N.J., L.L.C.
Provider Business Mailing Address
First Line : 576 BROADHOLLOW RD
Second Line :
City : MELVILLE
State : NY
Zip : 11747-5002
Country : US
Telephone Number : 631-359-5859
Fax Number : 631-396-0865
Provider Business Practice Location Address
First Line : 105 ELM ST
Second Line :
City : WESTFIELD
State : NJ
Zip : 07090-3143
Country : US
Telephone Number : 908-264-7503
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : KATHLEEN BRUSH
Credential :
Telephone Number : 631-359-5859
Provider Enumeration Date : 11/06/2017
Last Update Date : 04/02/2018

Similar Medicare Providers

1144177577 — MARC ALICEA
Practice Location Address:
105 ELM ST
WESTFIELD, NJ
07090-3143
Practice Phone: 908-450-5914
Practice Fax:
1821501404 — PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Practice Location Address:
105 ELM ST
WESTFIELD, NJ
07090-3143
Practice Phone: 908-264-7503
Practice Fax: 908-264-7596
1205460219 — PATRICK KELLISH
Practice Location Address:
105 ELM ST
WESTFIELD, NJ
07090-3143
Practice Phone: 908-264-7503
Practice Fax: 908-264-7596
1184395089 — NICOLE CAMERA
Practice Location Address:
105 ELM ST
WESTFIELD, NJ
07090-3143
Practice Phone: 908-264-7503
Practice Fax: 908-264-7596
1982489605 — SEAN FACKOVEC
Practice Location Address:
105 ELM ST
WESTFIELD, NJ
07090-3143
Practice Phone: 908-264-7503
Practice Fax: 908-264-7596
1003771015 — IZABELLA HOME CARE SERVICES LLC
Practice Location Address:
105 ELM ST
WESTFIELD, NJ
07090-3143
Practice Phone: 908-583-1644
Practice Fax:

Directions to “PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF N.J., L.L.C. ” 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.