Provider Demographics
NPI:1336660653
Name:TOTAL HEALTH PHYSICAL MEDICINE & REHABILITATION CENTER, LLC
Entity Type:Organization
Organization Name:TOTAL HEALTH PHYSICAL MEDICINE & REHABILITATION CENTER, LLC
Other - Org Name:PEAK MEDICAL LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:TYMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-377-6327
Mailing Address - Street 1:492 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1112
Mailing Address - Country:US
Mailing Address - Phone:908-665-0770
Mailing Address - Fax:
Practice Address - Street 1:492 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1112
Practice Address - Country:US
Practice Address - Phone:908-665-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL HEALTH PHYSICAL MEDICINE & REHABILITATION CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty