Provider Demographics
NPI:1578391868
Name:THERAPEUTIX LLC
Entity type:Organization
Organization Name:THERAPEUTIX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KUNAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATHAK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-420-0030
Mailing Address - Street 1:279 BROWERTOWN RD STE 108
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2663
Mailing Address - Country:US
Mailing Address - Phone:973-420-0030
Mailing Address - Fax:973-265-7027
Practice Address - Street 1:279 BROWERTOWN RD STE 108
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2663
Practice Address - Country:US
Practice Address - Phone:973-420-0030
Practice Address - Fax:973-265-7027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE SPINE & SPORTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-26
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty