Provider Type Icon

SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC NPI 1417140906


NPI Information

NPI: 1417140906
Provider Name: SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
968 RIVER RD
2ND FLOOR
EDGEWATER, NJ
ZIP 07020
Phone: (201) 937-3600
Get Directions

SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC is a sports physical therapist in Edgewater, NJ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC NPI is 1417140906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

968 RIVER RD
2ND FLOOR
EDGEWATER, NJ
ZIP 07020-237
Phone: (201) 937-3600
Fax: (201) 731-5192

The provider's authorized official is Gregory R. Zacccone .
The authorized official title is President and has the following contact phone number (201) 937-3600.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 8/26/2008.


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
12251S0007XPhysical TherapistSportsNJ40QA01107700NEW JERSEYYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.