Provider Demographics
NPI:1073752234
Name:F.P.T. INC
Entity Type:Organization
Organization Name:F.P.T. INC
Other - Org Name:FROME PHYSCIAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:FROME
Authorized Official - Suffix:
Authorized Official - Credentials:PT, LIC ACU
Authorized Official - Phone:973-509-8464
Mailing Address - Street 1:302 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4209
Mailing Address - Country:US
Mailing Address - Phone:973-509-8464
Mailing Address - Fax:815-301-2780
Practice Address - Street 1:302 GROVE ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4209
Practice Address - Country:US
Practice Address - Phone:973-509-8464
Practice Address - Fax:815-301-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00042600261QM1300X
NJ40QA00506300261QM1300X
NY002980-1261QM1300X
NY008268-1261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty