Organization Name: | PREMIUM CARE PHYSICAL THERAPY LLC |
NPI Number: | 1477941979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT MAKOWER (OWNER) |
Mailing Address: | 2520 John F Kennedy Blvd Jersey City |
State: | NJ US |
Postal Code: | 073042054 |
Phone Number: | 2019424555 |
Fax Number: | 9734759165 |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |