Provider Demographics
NPI:1760855712
Name:BEST PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:BEST PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-403-3273
Mailing Address - Street 1:68 WEST ST
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2118
Mailing Address - Country:US
Mailing Address - Phone:908-403-3273
Mailing Address - Fax:
Practice Address - Street 1:822 N WOOD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4000
Practice Address - Country:US
Practice Address - Phone:908-403-3273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00755700261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy