Provider Demographics
NPI:1457249054
Name:GRECO PHYSICAL THERAPY AND WELLNESS INC
Entity type:Organization
Organization Name:GRECO PHYSICAL THERAPY AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAVLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARVANITOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-228-0072
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-0427
Mailing Address - Country:US
Mailing Address - Phone:973-228-0072
Mailing Address - Fax:973-228-2311
Practice Address - Street 1:355 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5118
Practice Address - Country:US
Practice Address - Phone:973-228-0072
Practice Address - Fax:973-228-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty