PROFESSIONAL SPORTS CARE MANAGEMENT INC NPI 1659332773

NPI Information

NPI: 1659332773
Provider Name: PROFESSIONAL SPORTS CARE MANAGEMENT INC

Doing Business As: HEALTHSOUTH SPORTS MEDICINE & REHAB CTR

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
445 GODWIN AVE
MIDLAND PARK, NJ
ZIP 07432
Phone: (201) 444-4991
Get Directions

PROFESSIONAL SPORTS CARE MANAGEMENT INC is a rehabilitation clinic center in Midland Park, NJ. PROFESSIONAL SPORTS CARE MANAGEMENT INC NPI is 1659332773. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthsouth Sports Medicine & Rehab Ctr.

The provider's business location address is:

445 GODWIN AVE
MIDLAND PARK, NJ
ZIP 07432
Phone: (201) 444-4991
Fax: (201) 444-2593

The provider's authorized official is Michael E Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 975-4503.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 12/12/2007.

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
1	261QP2000X	Clinic/Center	Physical Therapy			No
2	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	316670	MEDICARE OSCAR/CERTIFICATION	NEW JERSEY

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »