Basic Information
| Provider Information | |||||||||
| NPI: | 1891991618 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FIRST CHOICE PHYSICAL THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 620 CRANBURY RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | EAST BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088164000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326982800 | ||||||||
| FaxNumber: | 7326981828 | ||||||||
| Practice Location | |||||||||
| Address1: | 620 CRANBURY RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | EAST BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088164000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326982800 | ||||||||
| FaxNumber: | 7326981828 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ASKES | ||||||||
| AuthorizedOfficialFirstName: | PETER | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7326982800 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | 40QA00408800 | NJ | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.