Provider Demographics
NPI:1033133491
Name:FIT PHYSICAL THERAPY
Entity type:Organization
Organization Name:FIT PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELDUFF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-341-9901
Mailing Address - Street 1:40 BEY LEA RD
Mailing Address - Street 2:BUILDING C SUITE 101
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2900
Mailing Address - Country:US
Mailing Address - Phone:732-341-9901
Mailing Address - Fax:732-341-9004
Practice Address - Street 1:40 BEY LEA RD
Practice Address - Street 2:BUILDING C SUITE 101
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2900
Practice Address - Country:US
Practice Address - Phone:732-341-9901
Practice Address - Fax:732-341-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE099557Medicare ID - Type Unspecified