Provider Demographics
NPI:1770218943
Name:NEXT LEVEL PERFORMANCE AND PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:NEXT LEVEL PERFORMANCE AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORANDO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-903-3537
Mailing Address - Street 1:1161 ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2000
Mailing Address - Country:US
Mailing Address - Phone:973-494-8119
Mailing Address - Fax:973-494-8163
Practice Address - Street 1:1161 ROUTE 23
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2000
Practice Address - Country:US
Practice Address - Phone:973-494-8119
Practice Address - Fax:973-494-8163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty