Provider Demographics
NPI:1659593697
Name:THERAPY AND LIVING CONSULTANTS, PC
Entity Type:Organization
Organization Name:THERAPY AND LIVING CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-513-0979
Mailing Address - Street 1:509 N CORNWALL AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-1357
Mailing Address - Country:US
Mailing Address - Phone:609-513-0979
Mailing Address - Fax:
Practice Address - Street 1:509 N CORNWALL AVE STE 3
Practice Address - Street 2:
Practice Address - City:VENTNOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08406-1357
Practice Address - Country:US
Practice Address - Phone:609-513-0979
Practice Address - Fax:609-645-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ098747Medicare ID - Type Unspecified