Provider Demographics
NPI:1871112060
Name:THE PHYSICAL THERAPY COMPANY LLC
Entity type:Organization
Organization Name:THE PHYSICAL THERAPY COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIMPINELLO
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:856-312-3600
Mailing Address - Street 1:2 HANLEY PARKE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3364
Mailing Address - Country:US
Mailing Address - Phone:856-312-3600
Mailing Address - Fax:
Practice Address - Street 1:2 HANLEY PARKE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-3364
Practice Address - Country:US
Practice Address - Phone:856-312-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health