MEDICARE: ADAPTIVE HOME THERAPY, INC.

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
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1831192673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPTIVE HOME THERAPY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1209
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08754-1209
Country	:	US
Telephone Number	:	732-886-6996
Fax Number	:	732-886-8862

Provider Business Practice Location Address
First Line	:	3 PLAZA DR STE 12
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08757-3765
Country	:	US
Telephone Number	:	732-886-6996
Fax Number	:	732-886-8862

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DAWN CINO
Credential	:
Telephone Number	:	732-886-6996

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/26/2023

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