Provider Demographics
NPI:1831657345
Name:PT WORX PHYSICAL THERAPY AND SPORTS MEDICINE
Entity Type:Organization
Organization Name:PT WORX PHYSICAL THERAPY AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELCHOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-556-9676
Mailing Address - Street 1:1266 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1344
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:383 MARKET ST STE 2B
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5314
Practice Address - Country:US
Practice Address - Phone:201-556-9676
Practice Address - Fax:201-621-6868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty