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.
Organization
SPECTRUM PHYSICAL THERAPY & ATHLETIC TRAINING, LLC
Active
Organization
SPECTRUM PHYSICAL THERAPY & ATHLETIC TRAINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY R. ZACCONE DPT, SCS, (PRESIDENT)
(201) 937-3600
Entity
Organization
Contact information
Practice address
1203 RIVER RD, SUITE 4, EDGEWATER, NJ 07020-1456
(201) 937-3600
(201) 731-5192
Mailing address
184 CENTRAL AVE, 1ST FLOOR, OLD TAPPAN, NJ 07675-7360
(201) 768-2099
(201) 731-5192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0256111
NY
225100000X
Physical Therapist
Primary
40QA01107700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097268
PTAN
NJ
Enumeration date
10/25/2006
Last updated
05/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up