PROVERE PHYSICAL THERAPY - PARAMUS LLC NPI 1962925412

NPI Information

  • NPI: 1962925412
  • Provider Name: PROVERE PHYSICAL THERAPY - PARAMUS LLC
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Organization
  • Address: 407 SETTE DR BLDG E
    PARAMUS, NJ
    ZIP 07652
  • Phone: (201) 538-7131

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NPI Details

PROVERE PHYSICAL THERAPY - PARAMUS LLC is a sports physical therapist in Paramus, 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. PROVERE PHYSICAL THERAPY - PARAMUS LLC NPI is 1962925412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

407 SETTE DR BLDG E
PARAMUS, NJ
ZIP 07652-940
Phone: (201) 538-7131
Fax: (201) 538-7131

The provider's authorized official is Cedric Haddad .
The authorized official title is Co-owner and has the following contact phone number (201) 538-7131.

The enumeration date for this NPI number is 7/17/2017 and was last updated on 7/17/2017.

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 TherapistSportsYes

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
1NONEOTHERNONE

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: 11/21/2025

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