Provider Demographics
NPI:1326694795
Name:WESTFIELD PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:WESTFIELD PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLA
Authorized Official - Middle Name:ZARAGOZA
Authorized Official - Last Name:CAJITA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-301-6134
Mailing Address - Street 1:845 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-1055
Mailing Address - Country:US
Mailing Address - Phone:908-301-6134
Mailing Address - Fax:908-301-6586
Practice Address - Street 1:845 BROAD AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-1055
Practice Address - Country:US
Practice Address - Phone:908-301-6134
Practice Address - Fax:908-301-6586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty