Provider Demographics
NPI:1306599006
Name:LEVEL UP PHYSICAL THERAPY
Entity type:Organization
Organization Name:LEVEL UP PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAESLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:908-334-3717
Mailing Address - Street 1:75 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-1912
Mailing Address - Country:US
Mailing Address - Phone:908-857-2153
Mailing Address - Fax:
Practice Address - Street 1:75 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-1912
Practice Address - Country:US
Practice Address - Phone:908-857-2153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty