Provider Demographics
NPI:1376244087
Name:JERSEY CITY PHYSICAL THERAPY
Entity Type:Organization
Organization Name:JERSEY CITY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMADANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:513-374-2642
Mailing Address - Street 1:20 RIVER CT APT 2303
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-2212
Mailing Address - Country:US
Mailing Address - Phone:513-374-2642
Mailing Address - Fax:
Practice Address - Street 1:20 RIVER CT APT 2303
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310-2212
Practice Address - Country:US
Practice Address - Phone:513-374-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy