Provider Demographics
NPI:1245243641
Name:HILLSBOROUGH PHYSICAL THERAPY, PA
Entity Type:Organization
Organization Name:HILLSBOROUGH PHYSICAL THERAPY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:PLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-359-3744
Mailing Address - Street 1:450 AMWELL RD
Mailing Address - Street 2:AMWELL MALL
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1218
Mailing Address - Country:US
Mailing Address - Phone:908-359-3744
Mailing Address - Fax:908-359-6761
Practice Address - Street 1:450 AMWELL RD
Practice Address - Street 2:AMWELL MALL
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1218
Practice Address - Country:US
Practice Address - Phone:908-359-3744
Practice Address - Fax:908-359-6761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2143234000OtherAMERIHEALTH HMO ID
NJ054067Medicare ID - Type Unspecified