Provider Demographics
NPI:1497771794
Name:ALLIED THERAPY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ALLIED THERAPY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRANNING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-983-6600
Mailing Address - Street 1:439 ROUTE 46 EAST
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3622
Mailing Address - Country:US
Mailing Address - Phone:973-983-6600
Mailing Address - Fax:973-983-6633
Practice Address - Street 1:439 ROUTE 46 EAST
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3622
Practice Address - Country:US
Practice Address - Phone:973-983-6600
Practice Address - Fax:973-983-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2010-11-10
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
NJ047899Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER