Provider Demographics
NPI:1558173104
Name:INDIVIDUAL PHYSICAL THERAPY & WELLNESS II LLC
Entity type:Organization
Organization Name:INDIVIDUAL PHYSICAL THERAPY & WELLNESS II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEISWINTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-236-0146
Mailing Address - Street 1:2271 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2113
Mailing Address - Country:US
Mailing Address - Phone:732-236-0146
Mailing Address - Fax:908-991-3770
Practice Address - Street 1:565 HIGHWAY 35 STE 5
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5073
Practice Address - Country:US
Practice Address - Phone:732-236-0146
Practice Address - Fax:908-991-3761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty