Provider Demographics
NPI:1356344303
Name:BCS PHYSICAL THERAPY SERVICES P.A.
Entity type:Organization
Organization Name:BCS PHYSICAL THERAPY SERVICES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-780-4300
Mailing Address - Street 1:1001 W MAIN ST
Mailing Address - Street 2:STE A
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2579
Mailing Address - Country:US
Mailing Address - Phone:732-780-4300
Mailing Address - Fax:732-780-7930
Practice Address - Street 1:1001 W MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2579
Practice Address - Country:US
Practice Address - Phone:732-780-4300
Practice Address - Fax:732-780-7930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ316556Medicare UPIN