Provider Demographics
NPI:1003035361
Name:TOTAL CARE PHYSICAL THERAPY CENTER, PC
Entity Type:Organization
Organization Name:TOTAL CARE PHYSICAL THERAPY CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-648-6808
Mailing Address - Street 1:119-137 CLIFFORD ST
Mailing Address - Street 2:L-3A
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105
Mailing Address - Country:US
Mailing Address - Phone:973-648-6808
Mailing Address - Fax:973-642-3516
Practice Address - Street 1:119-137 CLIFFORD ST
Practice Address - Street 2:L-3A
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105
Practice Address - Country:US
Practice Address - Phone:973-648-6808
Practice Address - Fax:973-642-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00298700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ089333Medicare ID - Type Unspecified