Organization · Type 2 NPI

Form Physical Therapy LLC

Physical Therapy Clinic/Center · West Orange, NJ

NPI number 1053254540 Active

Practice location

39 Colonial Woods Dr
West Orange, NJ 07052-1614

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000XNone listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

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About NPI 1053254540

Form Physical Therapy LLC's National Provider Identifier is 1053254540, issued on Apr 10, 2026. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in West Orange, NJ. The record was last updated on Apr 10, 2026.