PRESTIGE PHYSICAL THERAPY, L.L.C. (NPI# 1003932880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003932880 |
| Entity Type | Organization |
| Organization Name | PRESTIGE PHYSICAL THERAPY, L.L.C. |
| Practice Address |
463 Livingston St Suite 203 Norwood NJ 07648-1344 |
| Mailing Address |
199 Manito Ave Oakland NJ 07436-4013 |
| Practice Telephone | 2019217766 |
| Mailing Telephone | 2019217766 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | MR. KEITH ALLEN ROGERS (OWNER) |
| Authorized Official Telephone | 2019217766 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00966100 | NJ | Ambulatory Health Care Facilities |
| Street Address |
463 LIVINGSTON ST SUITE 203 |
| City | NORWOOD |
| State | NJ |
| Zip Code | 07648-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588816532 | Northern Valley Pediatrics, LLC | Pediatrics | 463 Livingston St, Unit 204, Norwood, NJ 07648-1344 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871682682 | Julie Lynn Wien | Social Worker | 113 Aspen Court, Norwood, NJ 07648 | 2006-10-11 |
| 1609973114 | Chu Y Ryu | Dentist | 474 Livingston St, #212, Norwood, NJ 07648 | 2006-09-19 |
| 1396819033 | Matthew Lawrence Galfund | Dentist | 11 Broad Street, Norwood, NJ 07648 | 2006-11-17 |
| 1306322839 | Lc Medical Care LLC | Pain Medicine | 335 Chestnut St, Norwood, NJ 07648-0001 | 2018-07-18 |
| 1841783008 | Csh Norwood Licensee, LLC | Alzheimer Center (Dementia Center) | 545 Tappan Rd, Norwood, NJ 07648-1226 | 2018-06-12 |
| 1548512908 | Mina Han | Pharmacist | 30 Virgil Rd, Norwood, NJ 07648-1246 | 2012-10-10 |
| 1326184987 | John Raymond Lynch | Dentist | 510 Broadway, Norwood, NJ 07648-1304 | 2007-01-30 |
| 1659450609 | Ciro Frank Scilingo | Chiropractor | 510 Broadway, Norwood, NJ 07648-1304 | 2006-11-02 |
| 1881965978 | A & A Staffing, LLC | Clinic/Center | 466 Livingston St, Norwood, NJ 07648-1310 | 2012-01-20 |
| 1134314545 | Drug Fair Norwood Pharmacy Department | Durable Medical Equipment & Medical Supplies | 521 Livingston St, Norwood, NJ 07648-1312 | 2007-09-10 |
| Find all providers in zip 07648 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1548740244 | Move Well Physical Therapy | Clinic/Center | 898b Washington St, Norwood, MA 02062-3446 | 2018-08-21 |
| 1073681300 | Physical Therapy & Sports Rehab Inc | Clinic/Center | 825 Washington St, Ste 280, Norwood, MA 02062 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.