Tidal Physical Therapy & Performance

LBN: Tidal Physical Therapy & Performance
Tidal Physical Therapy & Performance is an health care organization with primary practice located at 154 Cooper Rd Ste 1601 , West Berlin NJ 08091-9146. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Tidal Physical Therapy & Performance can be contacted via phone (856) 905-0057, or through Freijomil, Nicholas via phone (856) 905-0057.

Contact Information

Primary practice address
154 Cooper Rd Ste 1601 West Berlin NJ 08091-9146
Phone: (856) 905-0057
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Freijomil, Nicholas DPT
Phone: (856) 905-0057

Health care specialties

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

Profile Details

NPI number 1568125821
LBN Legal business name Tidal Physical Therapy & Performance
DBA Doing business as
Authorized official Freijomil, Nicholas DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2021
Last updated Oct 14th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568125821 NPPES
New Jersey Other 40QA01932000 LICENSE #

Popular Providers