FAST TRACK PHYSICAL THERAPY, LLC (NPI# 1992009203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992009203 |
| Entity Type | Organization |
| Organization Name | FAST TRACK PHYSICAL THERAPY, LLC |
| Practice Address |
700 S White Horse Pike Suite D Somerdale NJ 08083-1253 |
| Mailing Address |
Po Box 9 Somerdale NJ 08083-0009 |
| Practice Telephone | 8565046930 |
| Practice Fax Number | 8565046934 |
| Mailing Telephone | 8565046930 |
| Mailing Fax Number | 8565046934 |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2012-07-28 |
| Authorized Official Name | MR. KEVIN L LASER (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8565046930 |
| 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 |
40QA01113200 | NJ | Ambulatory Health Care Facilities |
| Street Address |
700 S WHITE HORSE PIKE SUITE D |
| City | SOMERDALE |
| State | NJ |
| Zip Code | 08083-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780641340 | Kevin Lee Laser | Physical Therapist | 700 S White Horse Pike, Suite D, Somerdale, NJ 08083-1253 | 2006-04-27 |
| 1619593852 | Sean W. Comp | Physical Therapist | 700 S White Horse Pike, Somerdale, NJ 08083-1253 | 2020-06-23 |
| 1679904205 | Amanda Ann Forman | Physical Therapist | 700 S White Horse Pike, Somerdale, NJ 08083-1253 | 2013-12-08 |
| 1104108117 | Francisca Liangco | Physical Therapist | 700 S White Horse Pike, Suite D, Somerdale, NJ 08083-1253 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053620351 | Wal-mart Stores East Lp | Technician/Technologist | 1 Coopertown Blvd, Somersdale, NJ 08083 | 2010-10-04 |
| 1336344548 | Diana Neal Juelg | Nurse Practitioner | 22 E. Evergreen Avenue, Somerdale, NJ 08083 | 2007-06-18 |
| 1598890295 | Shawn Thomas Klenk | Specialist/Technologist | 102 Rex Rd., Somerdale, NJ 08083 | 2007-02-22 |
| 1588741870 | John Raymond Tocco | Specialist | 701 W. Somerdale Road, Somerdale, NJ 08083 | 2006-11-01 |
| 1245218163 | Diana L Scott | Obstetrics & Gynecology | 1 Somerdale Sq, Somerdale, NJ 08083 | 2006-01-03 |
| 1013552702 | Integrity Family Solutions | Community/Behavioral Health | 104 Kennedy Blvd, Somerdale, NJ 08083-1019 | 2019-11-17 |
| 1649373978 | Vijay K Kalola | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-05 |
| 1639260896 | Primary Care Affiliates of Nj, Pa | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-27 |
| 1932203171 | Jayesh Patel | Internal Medicine | 227 E Somerdale Rd, Somerdale, NJ 08083-1105 | 2006-09-08 |
| 1295727642 | Alan D Budman | Podiatrist | 301 E Somerdale Rd, Somerdale, NJ 08083-1107 | 2005-08-19 |
| Find all providers in zip 08083 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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.