Provider Demographics
NPI:1487360806
Name:ASPIREWELLNESS PHYSICAL THERAPIST P.C.
Entity type:Organization
Organization Name:ASPIREWELLNESS PHYSICAL THERAPIST P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBBIE ANN
Authorized Official - Middle Name:ALABASO
Authorized Official - Last Name:BARCELONA
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:321-279-5071
Mailing Address - Street 1:36 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-1613
Mailing Address - Country:US
Mailing Address - Phone:201-739-7457
Mailing Address - Fax:
Practice Address - Street 1:36 LENOX AVE
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-1613
Practice Address - Country:US
Practice Address - Phone:201-739-7457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health