Provider Demographics
NPI:1275161531
Name:IN HOME PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:IN HOME PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:BIRGITTA
Authorized Official - Last Name:JONSSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-903-2288
Mailing Address - Street 1:155 ANDOVER MOHAWK RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-5004
Mailing Address - Country:US
Mailing Address - Phone:973-903-2288
Mailing Address - Fax:
Practice Address - Street 1:155 ANDOVER MOHAWK RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821-5004
Practice Address - Country:US
Practice Address - Phone:973-903-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty