Provider Demographics
NPI:1932131703
Name:DUNPHY PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:DUNPHY PHYSICAL THERAPY, INC.
Other - Org Name:DUNPHY PHYSICAL THERAPY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:732-542-8818
Mailing Address - Street 1:1 CORBETT WAY
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2264
Mailing Address - Country:US
Mailing Address - Phone:732-542-8818
Mailing Address - Fax:732-389-6595
Practice Address - Street 1:1 CORBETT WAY
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2264
Practice Address - Country:US
Practice Address - Phone:732-542-8818
Practice Address - Fax:732-389-6595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA03660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJANC839OtherOXFORD HEALTH PLANS
NJANC839OtherOXFORD HEALTH PLANS
NJ053710Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER