Provider Demographics
NPI:1467457762
Name:PHYSICAL THERAPY SERVICES OF MORRISTOWN, LLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY SERVICES OF MORRISTOWN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:TREZZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, DPT
Authorized Official - Phone:973-292-1101
Mailing Address - Street 1:310 MADISON AVE
Mailing Address - Street 2:STE 130
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6967
Mailing Address - Country:US
Mailing Address - Phone:973-292-1101
Mailing Address - Fax:973-292-4149
Practice Address - Street 1:310 MADISON AVE
Practice Address - Street 2:STE 130
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6967
Practice Address - Country:US
Practice Address - Phone:973-292-1101
Practice Address - Fax:973-292-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ041670Medicare ID - Type Unspecified