Provider Demographics
NPI:1528612223
Name:U PHYSICAL THERAPY
Entity type:Organization
Organization Name:U PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IDA CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:URI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-800-8534
Mailing Address - Street 1:111 FERNWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2900
Mailing Address - Country:US
Mailing Address - Phone:973-800-8534
Mailing Address - Fax:973-340-1537
Practice Address - Street 1:111 FERNWOOD CT
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2900
Practice Address - Country:US
Practice Address - Phone:973-800-8534
Practice Address - Fax:973-340-1537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty