Provider Demographics
NPI:1538293832
Name:QUEST PHYSICAL THERAPY
Entity Type:Organization
Organization Name:QUEST PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-818-1117
Mailing Address - Street 1:1100 ROUTE 17 NORTH
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1652
Mailing Address - Country:US
Mailing Address - Phone:201-818-1114
Mailing Address - Fax:201-327-0491
Practice Address - Street 1:1100 ROUTE 17 NORTH
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1652
Practice Address - Country:US
Practice Address - Phone:201-818-1114
Practice Address - Fax:201-327-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00247000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ028911Medicare ID - Type Unspecified