Provider Demographics
NPI:1922025386
Name:JOINTCARE PHYSICAL THERAPY,LLC
Entity Type:Organization
Organization Name:JOINTCARE PHYSICAL THERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DILAURI
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:973-660-1000
Mailing Address - Street 1:30 VREELAND RD
Mailing Address - Street 2:BUILDING A SUITE 110
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1904
Mailing Address - Country:US
Mailing Address - Phone:973-660-1000
Mailing Address - Fax:973-660-1008
Practice Address - Street 1:30 VREELAND RD
Practice Address - Street 2:BUILDING A SUITE 110
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1904
Practice Address - Country:US
Practice Address - Phone:973-660-1000
Practice Address - Fax:973-660-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty