Provider Demographics
NPI:1366100869
Name:1-ON-1 PHYSICAL THERAPY & WEIGHT LOSS LLC
Entity type:Organization
Organization Name:1-ON-1 PHYSICAL THERAPY & WEIGHT LOSS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DIORIO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:201-663-5919
Mailing Address - Street 1:143 MANTOLOKING RD FL 2
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-5864
Mailing Address - Country:US
Mailing Address - Phone:201-663-5919
Mailing Address - Fax:
Practice Address - Street 1:143 MANTOLOKING RD FL 2
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-5864
Practice Address - Country:US
Practice Address - Phone:201-663-5919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy