PRIME PHYSICAL THERAPY & SPORTS CARE LLC (NPI# 1639642374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639642374 |
| Entity Type | Organization |
| Organization Name | PRIME PHYSICAL THERAPY & SPORTS CARE LLC |
| Practice Address |
160 White Rd Ste 104 Little Silver NJ 07739-1167 |
| Practice Telephone | 7328618123 |
| Mailing Telephone | 7328618123 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | DR. JONATHON CORBACIO (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 7328618123 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
160 WHITE RD STE 104 |
| City | LITTLE SILVER |
| State | NJ |
| Zip Code | 07739-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689941114 | Jonathon Corbacio | Physical Therapist | 160 White Rd Ste 104, Little Silver, NJ 07739 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174048953 | Sasha Michelle Ney | Counselor | 200 White Road Suite 208, Littler Silver, NJ 07739 | 2017-08-14 |
| 1952764839 | Janet Cervalli | Psychologist | 34 Sycamore Avenue, Bldg 2, Suite 2e, Little Silver, NJ 07739 | 2016-03-30 |
| 1891131710 | Guangzu Gao | Radiology | 200 White Rd Ste 115, Little Silver, NJ 07739 | 2013-05-18 |
| 1114363215 | Jacqueline Diez | Speech-Language Pathologist | 53 Salem Lane, Little Silver, NJ 07739 | 2013-05-15 |
| 1073888582 | Moshe Fund | Social Worker | 200 White Rd Ste 208, Little Silver, NJ 07739 | 2012-03-16 |
| 1528369253 | Frank Lopresti | Marriage & Family Therapist | 34 Sycamore Ave., Little Silver, NJ 07739 | 2010-11-11 |
| 1538353255 | Richard Anthony Deblasi | Specialist | 640 Seven Bridges Rd, Little Silver, NJ 07739 | 2007-09-06 |
| 1639360340 | Kristina Maria Kohler | Clinic/Center | 34 Sycamore Ave. Suite 2a, C/o 'a Womans Place', Little Silver, NJ 07739 | 2007-08-07 |
| 1972628642 | Donna L Singer | Physical Therapist | 116 Oceanport Avenue, Little Silver, NJ 07739 | 2007-03-20 |
| 1174619670 | Jean Dugan | Registered Nurse | 661 Shrewsbury Ave., Shrewsbury, NJ 07739 | 2006-10-04 |
| Find all providers in zip 07739 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
| 1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
| 1871104463 | Katja Zeisler | Physical Therapist | 395 Grand St Fl 3, Jersey City, NJ 07302-4238 | 2020-08-16 |
| 1760007256 | Strongholistics, LLC | Physical Therapist | 105 Grove St Ste 14, Montclair, NJ 07042-4053 | 2020-06-10 |
| 1255951877 | Physiopros Physical Therapy & Wellness | Physical Therapist | 49 Overlook Rd, Morristown, NJ 07960-5805 | 2020-04-23 |
| 1730715038 | Sabrina Casares | Physical Therapist | 770 Lighthouse Dr Unit 170, Barnegat, NJ 08005-2373 | 2020-03-18 |
| 1750912820 | Brianna Carri, Pt, Dpt LLC | Physical Therapist | 32 Deanna Dr Apt 66, Hillsborough, NJ 08844-4851 | 2020-01-28 |
| 1265071187 | Ashley Mak Performance and Rehabilitation, PC | Physical Therapist | 1320 Adams St Ste B, Hoboken, NJ 07030-2370 | 2019-12-23 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE SILVER |
| Zip Code | 07739 |
Please comment or provide details below to improve the information on PRIME PHYSICAL THERAPY & SPORTS CARE LLC.
| 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.