Provider Demographics
NPI:1922670868
Name:PARAMOUNT THERAPY GROUP
Entity Type:Organization
Organization Name:PARAMOUNT THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DU BRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-815-7469
Mailing Address - Street 1:12 ECKERT DR
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1555
Mailing Address - Country:US
Mailing Address - Phone:516-815-7469
Mailing Address - Fax:
Practice Address - Street 1:12 ECKERT DR
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1555
Practice Address - Country:US
Practice Address - Phone:516-815-7469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty