Provider Demographics
NPI:1063968386
Name:JUST 4 KIDS THERAPY, LLC
Entity type:Organization
Organization Name:JUST 4 KIDS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REHABILITATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKOWER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-675-0123
Mailing Address - Street 1:9 ALMARK TER
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3217
Mailing Address - Country:US
Mailing Address - Phone:908-675-0128
Mailing Address - Fax:
Practice Address - Street 1:30-40 CORBETT WAY
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-9999
Practice Address - Country:US
Practice Address - Phone:908-675-0128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00549000225XP0200X
NJ41YS00805000235Z00000X
NJ41YS00630900235Z00000X
NJ40QA010479002251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty