Revolutionary Physical Therapy Inc.

LBN: Revolutionary Physical Therapy Inc.
Revolutionary Physical Therapy Inc. is an health care organization with primary practice located at 60 Garden St , Little Ferry NJ 07643-1535. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Revolutionary Physical Therapy Inc. can be contacted via phone (201) 667-6971, or through Mercado, Daniel via phone (201) 667-6971.

Contact Information

Primary practice address
60 Garden St Little Ferry NJ 07643-1535
Phone: (201) 667-6971
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mercado, Daniel
Phone: (201) 667-6971

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00805300 New Jersey

Profile Details

NPI number 1578813994
LBN Legal business name Revolutionary Physical Therapy Inc.
DBA Doing business as
Authorized official Mercado, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2012
Last updated Sep 12th, 2012 - about 12 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 1578813994 NPPES
New Jersey Other 40QA00805300 PHYSICAL THERAPY LICENSE

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