Provider Demographics
NPI:1568063972
Name:PT2U
Entity Type:Organization
Organization Name:PT2U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANECCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:201-561-3963
Mailing Address - Street 1:18 MARIANNA PL
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1933
Mailing Address - Country:US
Mailing Address - Phone:201-561-3936
Mailing Address - Fax:
Practice Address - Street 1:18 MARIANNA PL
Practice Address - Street 2:
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1933
Practice Address - Country:US
Practice Address - Phone:201-561-3936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty