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PROVERE PHYSICAL THERAPY - PARAMUS LLC
NPI 1962925412
Physical Therapist - Sports in Paramus, NJ

Active since July 17, 2017
407 SETTE DR BLDG E, PARAMUS, NJ 07652(201) 538-7131(201) 538-7131 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provere Physical Therapy - Paramus Llc NPPES

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

PROVERE PHYSICAL THERAPY - PARAMUS LLC (NPI 1962925412) is a healthcare organization registered as a sports in Paramus, New Jersey and active in the NPI registry since July 2017. The organization lists Cedric Haddad, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1962925412
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NamePROVERE PHYSICAL THERAPY - PARAMUS LLC
Location Address407 SETTE DR BLDG EParamus, NJ 07652-2940
Mailing Address637 Wyckoff Ave Pmb 361Wyckoff, NJ 07481-1438
Phone(201) 538-7131
Fax(201) 538-7131
Organization SubpartNo
Authorized OfficialCedric HaddadCo-owner · (201) 538-7131
Enumeration DateJuly 17, 2017
✔ NPI 1962925412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
407 SETTE DR BLDG E, Paramus, NJ 07652
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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 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 Provere Physical Therapy - Paramus LLC's NPI number?

The NPI number for Provere Physical Therapy - Paramus LLC is 1962925412. It was assigned to this organization in the NPPES registry on July 17, 2017.

Where is Provere Physical Therapy - Paramus LLC located?

Provere Physical Therapy - Paramus LLC is located at 407 Sette Dr Bldg E, Paramus, NJ 07652. The listed phone number is (201) 538-7131.

What is Provere Physical Therapy - Paramus LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Provere Physical Therapy - Paramus LLC was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.