Provider Demographics
NPI: | 1972531614 |
---|---|
Name: | ALL-CARE PHYSICAL THERAPY CENTER |
Entity type: | Organization |
Organization Name: | ALL-CARE PHYSICAL THERAPY CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DPT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | MICHAEL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | YORKE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 732-849-9600 |
Mailing Address - Street 1: | 67 LACEY RD, STE 9-12 |
Mailing Address - Street 2: | |
Mailing Address - City: | WHITING |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08759 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-849-0700 |
Mailing Address - Fax: | 732-849-4718 |
Practice Address - Street 1: | 67 LACEY RD, STE 9-12 |
Practice Address - Street 2: | |
Practice Address - City: | WHITING |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08759 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-849-0700 |
Practice Address - Fax: | 732-849-4718 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-06-29 |
Last Update Date: | 2019-06-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | Group - Multi-Specialty |
No | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand | Group - Multi-Specialty |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Multi-Specialty |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | Group - Multi-Specialty |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NJ | 1841234986 | Other | NPI |
NJ | 092523 | Medicare ID - Type Unspecified | |
NJ | 1841234986 | Other | NPI |