Provider Demographics
NPI:1013571165
Name:NORTH JERSEY SCOLIOSIS AND PHYSICAL THERAPY SPECIALISTS, LLC
Entity Type:Organization
Organization Name:NORTH JERSEY SCOLIOSIS AND PHYSICAL THERAPY SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:862-268-0582
Mailing Address - Street 1:580 LAFAYETTE RD
Mailing Address - Street 2:ST K
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:580 LAFAYETTE RD
Practice Address - Street 2:ST K
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871
Practice Address - Country:US
Practice Address - Phone:862-268-0582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty