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Contact Information

FOREVER ACTIVE PHYSICAL THERAPY & SPORTS PERFORMANCE LLC
1236 AUDUBON DR
TOMS RIVER, NJ08753-3903
 Phone: 732-575-3275
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for FOREVER ACTIVE PHYSICAL THERAPY & SPORTS PERFORMANCE LLC

NPI # 1518635598
LBN Legal business name FOREVER ACTIVE PHYSICAL THERAPY & SPORTS PERFORMANCE LLC
Authorized official BRADLEY PUGLISI - (PRESIDENT, LEAD PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2021
Last updated 09/02/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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