Provider Demographics
NPI:1518574037
Name:DURANTE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:DURANTE PHYSICAL THERAPY
Other - Org Name:DURANTE PHYSICAL THERAPY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DPT., OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DURANTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:201-578-2100
Mailing Address - Street 1:58 E MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2958
Mailing Address - Country:US
Mailing Address - Phone:201-264-4366
Mailing Address - Fax:
Practice Address - Street 1:58 E MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2958
Practice Address - Country:US
Practice Address - Phone:201-264-4366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty