Provider Demographics
NPI:1740211234
Name:PROCARE PHYSICAL THERAPY, P.A.
Entity Type:Organization
Organization Name:PROCARE PHYSICAL THERAPY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP TREASUER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARPITTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-926-9250
Mailing Address - Street 1:4500 NEW BRUNSWICK AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854
Mailing Address - Country:US
Mailing Address - Phone:732-926-9250
Mailing Address - Fax:732-926-9277
Practice Address - Street 1:4500 NEW BRUNSWICK AVENUE
Practice Address - Street 2:SUITE 101
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854
Practice Address - Country:US
Practice Address - Phone:732-926-9250
Practice Address - Fax:732-926-9277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ110344OtherMEDICARE PTAN