Provider Demographics
NPI:1316257587
Name:HIGHLANDS PHYSICAL THERAPY & SPORTS MEDICINE LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:HIGHLANDS PHYSICAL THERAPY & SPORTS MEDICINE LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:137 MAIN RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9231
Mailing Address - Country:US
Mailing Address - Phone:973-794-4100
Mailing Address - Fax:973-794-4222
Practice Address - Street 1:137 MAIN RD
Practice Address - Street 2:SUITE 301
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9231
Practice Address - Country:US
Practice Address - Phone:973-794-4100
Practice Address - Fax:973-794-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ211748Medicare PIN