Provider Demographics
NPI:1033404264
Name:STEPHEN HORNEY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:STEPHEN HORNEY PHYSICAL THERAPY LLC
Other - Org Name:IPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/SOLE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:HORNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-673-8860
Mailing Address - Street 1:326 HANCE RD
Mailing Address - Street 2:
Mailing Address - City:FAIR HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07704-3151
Mailing Address - Country:US
Mailing Address - Phone:732-673-8860
Mailing Address - Fax:
Practice Address - Street 1:600 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3319
Practice Address - Country:US
Practice Address - Phone:646-397-7869
Practice Address - Fax:732-865-7649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01276800261QP2000X
NY028297261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy