Organization · Type 2 NPI

Sports Medicine Center of Bergen, PA

Sports Physical Therapist · Hackensack, NJ

NPI number 1609990019 Active

Practice location

605 Main St
Hackensack, NJ 07601-5914

Fax (201) 488-5787

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Sports Physical Therapist Primary	2251S0007X	None listed
Occupational Therapist	225X00000X	None listed

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

33 other providers at this address

NPI record

NPI: 1609990019
Entity type: Organization (Type 2)
Issued: Mar 19, 2007
Last updated: Jul 12, 2022
Status: Active

Other names

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Excel Orthopedic Rehabilitation · doing business as
Excel Orthopedic Rehabilitation · doing business as

Authorized official

Mr. Gary Flink, P.T.
Vice President
(201) 488-0788

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609990019

Sports Medicine Center of Bergen, PA's National Provider Identifier is 1609990019, issued on Mar 19, 2007. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 12, 2022.