MEDICARE: SMARTCARE PHYSICAL THERAPY PC

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	:	1972311926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMARTCARE PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	23 RICHMOND RD
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817-4037
Country	:	US
Telephone Number	:	201-208-1775
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 RICHMOND RD
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08817-4037
Country	:	US
Telephone Number	:	201-208-1775
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARCHAN SHAH
Credential	:
Telephone Number	:	201-208-1775

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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