Provider Demographics
NPI:1881839603
Name:NORTHERN HILLS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:NORTHERN HILLS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:DECARO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-945-4160
Mailing Address - Street 1:272 ROUTE 206
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9081
Mailing Address - Country:US
Mailing Address - Phone:973-927-3034
Mailing Address - Fax:973-927-2853
Practice Address - Street 1:272 ROUTE 206
Practice Address - Street 2:SUITE 210
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9081
Practice Address - Country:US
Practice Address - Phone:973-927-3034
Practice Address - Fax:973-927-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01253300261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy