SPORT AND SPINE PHYSICAL THERAPY CENTER INC
NPI 1629294764
Specialist in Tenafly, NJ

Active since April 17, 2007
103 N SUMMITT ST, TENAFLY, NJ 07670(201) 816-0042(201) 816-0043 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sport And Spine Physical Therapy Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORT AND SPINE PHYSICAL THERAPY CENTER INC (NPI 1629294764) is a healthcare organization registered as a specialist in Tenafly, New Jersey and active in the NPI registry since April 2007. The organization lists Thomas Matthew Donofrio, President, as its authorized official.

NPPES Registry Identity

NPI1629294764
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPORT AND SPINE PHYSICAL THERAPY CENTER INC
Location Address103 N SUMMITT STTenafly, NJ 07670
Mailing Address595 Wildwood Rd WestNorthvale, NJ 07647-1125 · (201) 543-3902 · Fax (201) 750-2949
Fax(201) 816-0043
Organization SubpartNo
Authorized OfficialThomas Matthew DonofrioPresident · (201) 543-3902
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 25, 2007
NPI 1629294764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · QA08961
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
103 N SUMMITT ST, Tenafly, NJ 07670

Other Identifiers 1

Medicare PIN095675NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sport And Spine Physical Therapy Center Inc's NPI number?

The NPI number for Sport And Spine Physical Therapy Center Inc is 1629294764. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Sport And Spine Physical Therapy Center Inc located?

Sport And Spine Physical Therapy Center Inc is located at 103 N Summitt St, Tenafly, NJ 07670. The listed phone number is (201) 816-0042.

What is Sport And Spine Physical Therapy Center Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sport And Spine Physical Therapy Center Inc was last updated on October 25, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.