# JERSEY PHYSICAL THERAPY OF MILLTOWN/EAST BRUNSWICK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730138512
- **Authorized official:** SEAN T. MOORE PT, MPT (MANAGING MEMBER)
- **Authorized official phone:** (732) 418-7033

## Contact information

- **Practice address:** 180 TICES LN, EAST BRUNSWICK, NJ 08816-1337
- **Practice address phone:** (732) 418-7033
- **Practice address fax:** (732) 418-7011
- **Mailing address:** 3228 STATE ROUTE 27, KENDALL PARK, NJ 08824-1524
- **Mailing address phone:** (732) 297-0032
- **Mailing address fax:** (732) 418-7011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 03/03/2014