Provider Demographics
NPI:1073610408
Name:PARSIPPANY PHYSICAL THERAPY & REHABILITATION INC
Entity Type:Organization
Organization Name:PARSIPPANY PHYSICAL THERAPY & REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:FEDERICI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-683-1351
Mailing Address - Street 1:PO BOX 5906
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-6906
Mailing Address - Country:US
Mailing Address - Phone:973-683-1351
Mailing Address - Fax:973-683-1342
Practice Address - Street 1:1081 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-683-1351
Practice Address - Fax:973-683-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00132800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ460398Medicare PIN