Provider Demographics
NPI:1952471112
Name:SPORTS PHYSICAL THERAPY INSTITUTE,PA
Entity Type:Organization
Organization Name:SPORTS PHYSICAL THERAPY INSTITUTE,PA
Other - Org Name:SPORTS PHYSICAL THERAPY INSTITUTE FLEMINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:PINCIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-806-2000
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:THREE BRIDGES
Mailing Address - State:NJ
Mailing Address - Zip Code:08887-0310
Mailing Address - Country:US
Mailing Address - Phone:908-806-2645
Mailing Address - Fax:908-806-5228
Practice Address - Street 1:8 BARTLES CORNER ROAD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5712
Practice Address - Country:US
Practice Address - Phone:908-806-2000
Practice Address - Fax:908-806-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
038644Medicare ID - Type Unspecified