Provider Demographics
NPI:1326853078
Name:AZ PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:AZ PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AJITKUMAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZALAVADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-598-3618
Mailing Address - Street 1:208 HIAWATHA BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE HIAWATHA
Mailing Address - State:NJ
Mailing Address - Zip Code:07034-2126
Mailing Address - Country:US
Mailing Address - Phone:201-598-3618
Mailing Address - Fax:
Practice Address - Street 1:208 HIAWATHA BLVD
Practice Address - Street 2:
Practice Address - City:LAKE HIAWATHA
Practice Address - State:NJ
Practice Address - Zip Code:07034-2126
Practice Address - Country:US
Practice Address - Phone:201-598-3618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy