Provider Demographics
NPI:1952585689
Name:OCEAN CITY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:OCEAN CITY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-399-3344
Mailing Address - Street 1:701 WEST AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-3770
Mailing Address - Country:US
Mailing Address - Phone:609-399-3344
Mailing Address - Fax:609-399-3337
Practice Address - Street 1:701 WEST AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-3770
Practice Address - Country:US
Practice Address - Phone:609-399-3344
Practice Address - Fax:609-399-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00637400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty