LINCOLN PARK PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC (NPI# 1497909469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497909469 |
Entity Type | Organization |
Organization Name | LINCOLN PARK PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC |
Other Organization Name | OPTIMUM HEALTH PHYSICAL THERAPY & WELLNESS CENTER |
Practice Address |
212 Main St Suite B Lincoln Park NJ 07035-3700 |
Practice Telephone | 9736962999 |
Practice Fax Number | 9736963030 |
Mailing Telephone | 9736962999 |
Mailing Fax Number | 9736963030 |
Enumeration Date | 2008-11-04 |
Last Update Date | 2009-03-12 |
Authorized Official Name | MR. KEITH M. SCOTT (OWNER/MEMBER) |
Authorized Official Telephone | 9736962999 |
Authorized Official Credential | M.P.T., O.C.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00750300 | NJ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Optimum Health Physical Therapy & Wellness Center | Doing Business As Name - Organization |
Street Address |
212 MAIN ST SUITE B |
City | LINCOLN PARK |
State | NJ |
Zip Code | 07035-3700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629190723 | David Ross Tanner | Chiropractor | 212 Main St, Lincoln Park, NJ 07035-3700 | 2007-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
Find all providers in zip 07035 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
1437126091 | Advanced Physical Therapy and Wellness Center, LLC | Clinic/Center | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2006-03-02 |
1306818364 | Michigan Rehabilitation Care Inc | Clinic/Center | 1300 Electric Ave, Lincoln Park, MI 48146-5814 | 2006-02-03 |
1487268868 | Hammonds Pt and Recovery | Clinic/Center | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2020-09-03 |
1922669928 | Parks Downriver Physical Therapy LLC | Clinic/Center | 1770 Fort St, Lincoln Park, MI 48146-1904 | 2019-06-21 |
1902313133 | American Rehab Solutions, LLC | Clinic/Center | 2075 Fort St Ste 101, Lincoln Park, MI 48146-2191 | 2018-01-09 |
1780092718 | Body Matrixs | Clinic/Center | 2075 Fort St, Lincoln Park, MI 48146-2191 | 2014-07-22 |
1215364880 | Adequate Physical Therapy LLC | Clinic/Center | 2355 Fort St, Lincoln Park, MI 48146-2464 | 2013-09-27 |
1619155314 | Advanced Injury Care II, Inc. | Clinic/Center | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2008-02-05 |
1457443855 | Physical Therapy Group Inc. | Clinic/Center | 25880 Outer Dr, Lincoln Park, MI 48146-1553 | 2006-09-30 |
Find all providers in LINCOLN PARK |
City | LINCOLN PARK |
Zip Code | 07035 |
Please comment or provide details below to improve the information on LINCOLN PARK PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.