Provider Demographics
NPI:1730131996
Name:PHYSICAL THERAPY & SPINE CENTER OF UNION CITY PA
Entity Type:Organization
Organization Name:PHYSICAL THERAPY & SPINE CENTER OF UNION CITY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:THIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-794-6868
Mailing Address - Street 1:PO BOX 600
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-0600
Mailing Address - Country:US
Mailing Address - Phone:201-794-6868
Mailing Address - Fax:204-794-6003
Practice Address - Street 1:401 41ST ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4915
Practice Address - Country:US
Practice Address - Phone:201-864-5312
Practice Address - Fax:201-864-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01002900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty