Provider Demographics
NPI:1932988557
Name:R3 PHYSIOTHERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:R3 PHYSIOTHERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILKE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-895-0488
Mailing Address - Street 1:1515 STATE ROUTE 35 # 1048
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1829
Mailing Address - Country:US
Mailing Address - Phone:732-737-7271
Mailing Address - Fax:
Practice Address - Street 1:13 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1514
Practice Address - Country:US
Practice Address - Phone:732-737-7271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty