Provider Demographics
NPI:1932146081
Name:ABC PHYSICAL THERAPY & HAND THERAPY LLC
Entity Type:Organization
Organization Name:ABC PHYSICAL THERAPY & HAND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:MEDWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-218-4244
Mailing Address - Street 1:50 S BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2906
Mailing Address - Country:US
Mailing Address - Phone:908-218-4244
Mailing Address - Fax:908-218-4233
Practice Address - Street 1:50 S BRIDGE ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2906
Practice Address - Country:US
Practice Address - Phone:908-218-4244
Practice Address - Fax:908-218-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ076740Medicare ID - Type UnspecifiedGROUP IDENTIFICATION