| Organization Name: | PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC |
| NPI Number: | 1962748509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HELEN AGRELO (EXECUTIVE DIRECTOR OF BUSINESS OPS) |
| Mailing Address: | 300 Route 17 Mahwah |
| State: | NJ US |
| Postal Code: | 074302141 |
| Phone Number: | 2015298322 |
| Fax Number: | 2015298377 |
| NPI Enumeration Date: | 01/01/2013 |
| NPI Last Update Date: | 03/05/2013 |
| 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 |