Provider Demographics
NPI:1760007256
Name:TRAIN, PLAY & RECOVER PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:TRAIN, PLAY & RECOVER PHYSICAL THERAPY, LLC
Other - Org Name:STRONGHOLISTICS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STRELNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:917-587-0407
Mailing Address - Street 1:105 GROVE ST STE 14
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4053
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 GROVE ST STE 14
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4053
Practice Address - Country:US
Practice Address - Phone:917-587-0407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1386120764OtherNPI
NJ1972191427OtherNPI
NJ1326173089OtherNPI