Physical Therapy Center Management Group, LLC
Physical Therapist in Carteret, NJ. Organization (NPI-2).
NPI number1104840552
StatusActive
Last updated in NPPESMay 14, 2013
Details
- NPI
- 1104840552
- Entity type
- Organization (NPI-2)
- Legal business name
- Physical Therapy Center Management Group, LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2006
- Last updated
- May 14, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
45 Washington AveCarteret, NJ 07008-2618
Phone 732-969-3480
Mailing address
45 Washington AveCarteret, NJ 07008-2618
Phone 732-969-3480
Authorized official
Michael Russo
Owner
2014019687
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