Provider Demographics
NPI:1295876795
Name:PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, PC
Entity type:Organization
Organization Name:PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PHD
Authorized Official - Phone:609-884-9800
Mailing Address - Street 1:650 TOWN BANK RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NORTH CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-4409
Mailing Address - Country:US
Mailing Address - Phone:609-884-9800
Mailing Address - Fax:609-884-9807
Practice Address - Street 1:650 TOWN BANK RD
Practice Address - Street 2:SUITE 203
Practice Address - City:NORTH CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-4409
Practice Address - Country:US
Practice Address - Phone:609-884-9800
Practice Address - Fax:609-884-9807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00413000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ109693Medicare PIN