Provider Demographics
NPI:1801651526
Name:ELYSIUM PHYSICAL THERAPY AND PELVIC WELLNESS, LLC
Entity type:Organization
Organization Name:ELYSIUM PHYSICAL THERAPY AND PELVIC WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:SESULKA
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, PCES
Authorized Official - Phone:973-321-4800
Mailing Address - Street 1:1850 US HIGHWAY 46 STE 5
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-2401
Mailing Address - Country:US
Mailing Address - Phone:973-321-4800
Mailing Address - Fax:
Practice Address - Street 1:1850 US HIGHWAY 46 STE 5
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-2401
Practice Address - Country:US
Practice Address - Phone:973-321-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty