Provider Demographics
NPI:1871248419
Name:N1 SPORTS REHAB & PERFORMANCE
Entity Type:Organization
Organization Name:N1 SPORTS REHAB & PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:201-723-6220
Mailing Address - Street 1:400 RAGING RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3171
Mailing Address - Country:US
Mailing Address - Phone:201-723-6220
Mailing Address - Fax:
Practice Address - Street 1:1904 S BAGDAD RD STE 4
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-2866
Practice Address - Country:US
Practice Address - Phone:585-708-9242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-12
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy