Provider Demographics
NPI:1972079531
Name:EMPOWER PT LLC
Entity type:Organization
Organization Name:EMPOWER PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIEPENTROG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-336-1233
Mailing Address - Street 1:18B JULES LN
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-3642
Mailing Address - Country:US
Mailing Address - Phone:908-336-1233
Mailing Address - Fax:
Practice Address - Street 1:18B JULES LN
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-3642
Practice Address - Country:US
Practice Address - Phone:908-336-1233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy