Provider Demographics
NPI:1194207092
Name:PHYSICAL THERAPY SERVICES
Entity Type:Organization
Organization Name:PHYSICAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BABLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-835-6115
Mailing Address - Street 1:715 NEWARK POMPTON TPKE
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1330
Mailing Address - Country:US
Mailing Address - Phone:973-835-6115
Mailing Address - Fax:973-835-6861
Practice Address - Street 1:715 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1330
Practice Address - Country:US
Practice Address - Phone:973-835-6115
Practice Address - Fax:973-835-6861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty