Organization
COMMUNITY PHYSICAL THERAPISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEYDA MATA (DIRECTOR OF OPERATIONS)
(201) 461-9696
Entity
Organization
Contact information
Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 461-9696
(201) 461-7165
Mailing address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 461-9696
(201) 461-7165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
2251X0800X
Orthopedic Physical Therapist
—
NJ
225200000X
Physical Therapy Assistant
—
NJ
225X00000X
Occupational Therapist
—
NJ
225XE1200X
Ergonomics Occupational Therapist
—
NJ
225XH1200X
Hand Occupational Therapist
—
NJ
Other
Enumeration date
02/04/2008
Last updated
02/11/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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