Provider Demographics
NPI:1497416770
Name:JEM PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:JEM PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:MULVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-295-2287
Mailing Address - Street 1:7 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-3105
Mailing Address - Country:US
Mailing Address - Phone:908-295-2287
Mailing Address - Fax:908-955-7408
Practice Address - Street 1:30 SEMINARY AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2614
Practice Address - Country:US
Practice Address - Phone:908-955-7616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty