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TITAN PHYSICAL THERAPY TITAN PT NPI 1255919684


NPI Information

NPI: 1255919684
Provider Name: TITAN PHYSICAL THERAPY TITAN PT

Doing Business As: TITAN PHYSICAL THERAPY

Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
461 US HIGHWAY 46
FAIRFIELD, NJ
ZIP 07004
Phone: (570) 606-5399
Get Directions

TITAN PHYSICAL THERAPY TITAN PT is an orthopedic physical therapist in Fairfield, NJ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. TITAN PHYSICAL THERAPY TITAN PT NPI is 1255919684. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Titan Physical Therapy.

The provider's business location address is:

461 US HIGHWAY 46
FAIRFIELD, NJ
ZIP 07004-954
Phone: (570) 606-5399

The provider's authorized official is Jonathan Mickulik .
The authorized official title is Physical Therapist, Owner and has the following contact phone number (570) 606-5399.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 6/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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