Provider Demographics
NPI:1083425227
Name:UPBEAT PHYSICAL THERAPY AND WELLNESS CENTER LLC
Entity type:Organization
Organization Name:UPBEAT PHYSICAL THERAPY AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR, CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELACERNA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:862-686-1849
Mailing Address - Street 1:84 WILLOW AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4278
Mailing Address - Country:US
Mailing Address - Phone:862-686-1849
Mailing Address - Fax:732-333-3229
Practice Address - Street 1:84 WILLOW AVE FL 1
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4278
Practice Address - Country:US
Practice Address - Phone:862-686-1849
Practice Address - Fax:732-333-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty