Provider Demographics
NPI:1518704402
Name:ACHIEVE PHYSICAL THERAPY
Entity type:Organization
Organization Name:ACHIEVE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:ESEMPLARE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-610-2755
Mailing Address - Street 1:1700 ROUTE 23 STE 110
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7537
Mailing Address - Country:US
Mailing Address - Phone:973-250-8885
Mailing Address - Fax:
Practice Address - Street 1:1700 ROUTE 23 STE 110
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7537
Practice Address - Country:US
Practice Address - Phone:973-250-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy