Provider Demographics
NPI:1174650428
Name:VOLK PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:VOLK PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS, CHT
Authorized Official - Phone:732-460-1277
Mailing Address - Street 1:25 DEVON CT
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3138
Mailing Address - Country:US
Mailing Address - Phone:732-460-1277
Mailing Address - Fax:
Practice Address - Street 1:25 DEVON CT
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3138
Practice Address - Country:US
Practice Address - Phone:732-460-1277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00242400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ099791Medicare ID - Type UnspecifiedPROVIDER NUMBER