Provider Demographics
NPI:1417352832
Name:SZYMCZAK REHABILITATION LLC
Entity Type:Organization
Organization Name:SZYMCZAK REHABILITATION LLC
Other - Org Name:ON POINT WELLNESS AND PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SZYMCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-420-8836
Mailing Address - Street 1:9 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1529
Mailing Address - Country:US
Mailing Address - Phone:973-420-8836
Mailing Address - Fax:201-773-9701
Practice Address - Street 1:9 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1529
Practice Address - Country:US
Practice Address - Phone:201-773-9700
Practice Address - Fax:201-773-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty