Game Changer Physical Therapy Pc

LBN: Game Changer Physical Therapy Pc
Game Changer Physical Therapy Pc is an health care organization with primary practice located at 1215 Wyckoff Rd , Wall Township NJ 07727-3914. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Game Changer Physical Therapy Pc can be contacted via phone (732) 740-5384, or through Paster, Jeremy via phone (732) 740-5384.

Contact Information

Primary practice address
1215 Wyckoff Rd Wall Township NJ 07727-3914
Phone: (732) 740-5384
Fax: (212) 223-0198
Website:
Map and Directions
Authorized official contact:
Name: Paster, Jeremy DPT
Phone: (732) 740-5384

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1427677509
LBN Legal business name Game Changer Physical Therapy Pc
DBA Doing business as
Authorized official Paster, Jeremy DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2020
Last updated Apr 9th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427677509 NPPES
New Jersey Other 40QA01688000 LICENSE

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