Provider Demographics
NPI:1013186139
Name:ALPHA THERAPY SERVICES PA
Entity Type:Organization
Organization Name:ALPHA THERAPY SERVICES PA
Other - Org Name:ALPHA THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:ANASTASSIOS
Authorized Official - Last Name:STEFANIDES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-768-7247
Mailing Address - Street 1:22 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1416
Mailing Address - Country:US
Mailing Address - Phone:973-513-9055
Mailing Address - Fax:973-513-9056
Practice Address - Street 1:22 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1447
Practice Address - Country:US
Practice Address - Phone:973-513-9055
Practice Address - Fax:973-513-9056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA0088482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty