Provider Demographics
NPI:1467499442
Name:A TEAM APPROACH PHYSICAL THERAPY CENTER
Entity Type:Organization
Organization Name:A TEAM APPROACH PHYSICAL THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFALO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-429-3001
Mailing Address - Street 1:265 BROAD ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2764
Mailing Address - Country:US
Mailing Address - Phone:973-429-3001
Mailing Address - Fax:973-429-2033
Practice Address - Street 1:265 BROAD ST
Practice Address - Street 2:SUITE 4
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2764
Practice Address - Country:US
Practice Address - Phone:973-429-3001
Practice Address - Fax:973-429-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00407200261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1467499442OtherNPI
NJ1467499442OtherNPI
NJRU603100Medicare ID - Type Unspecified