Provider Demographics
NPI:1740743467
Name:PARKER CREEK NEUROREHABILITATION
Entity Type:Organization
Organization Name:PARKER CREEK NEUROREHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ABIGAIL
Authorized Official - Last Name:PIRL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:917-406-0478
Mailing Address - Street 1:54 N PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4413
Mailing Address - Country:US
Mailing Address - Phone:917-406-0478
Mailing Address - Fax:732-219-0979
Practice Address - Street 1:116 OCEANPORT AVE STE 2
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1250
Practice Address - Country:US
Practice Address - Phone:917-406-0478
Practice Address - Fax:732-219-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy