| Organization Name: | ACADEMY PHYSICAL THERAPY & WELLNESS INC |
| NPI Number: | 1164618617 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VLADIMIR STASHCHYSHYN (PRESIDENT) |
| Mailing Address: | 2200 Route 10 West Suite 206 Parsippany |
| State: | NJ US |
| Postal Code: | 070545304 |
| Phone Number: | 9734491394 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2007 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 40QA01004600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |