Provider Demographics
NPI:1902255680
Name:HIGH POINT PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:HIGH POINT PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDILBERTO
Authorized Official - Middle Name:ORCULLO
Authorized Official - Last Name:ESTOMO
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:201-951-7534
Mailing Address - Street 1:725 RIVER RD
Mailing Address - Street 2:SUITE 32-253
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1171
Mailing Address - Country:US
Mailing Address - Phone:201-951-7534
Mailing Address - Fax:201-758-5095
Practice Address - Street 1:1781 JEROME AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-5711
Practice Address - Country:US
Practice Address - Phone:917-473-6727
Practice Address - Fax:917-473-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00520400261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy