| Organization Name: | SPECTRUM PHYSICAL THERAPY & ATHLETIC TRAINING, LLC |
| NPI Number: | 1942385513 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY R. ZACCONE (PRESIDENT) |
| Mailing Address: | 1203 River Rd Suite 4 Edgewater |
| State: | NJ US |
| Postal Code: | 070201456 |
| Phone Number: | 2019373600 |
| Fax Number: | 2017315192 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0256111 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |