MEDICARE: FIRST STEPS 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1871255190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST STEPS THERAPY LLC

Provider Business Mailing Address
First Line	:	3 MEADOW RUN CT
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-4070
Country	:	US
Telephone Number	:	718-503-1505
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 MEADOW RUN CT
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-4070
Country	:	US
Telephone Number	:	718-503-1505
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LEAH BRISMAN
Credential	:	PT
Telephone Number	:	718-503-1505

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	10/13/2021

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Directions to “FIRST STEPS THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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