Provider Demographics
NPI:1538158167
Name:ACHIEVE PHYSICAL THERAPY & FITNESS, LLC
Entity type:Organization
Organization Name:ACHIEVE PHYSICAL THERAPY & FITNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:856-690-9977
Mailing Address - Street 1:1940 S WEST BLVD
Mailing Address - Street 2:BLDG A
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-7024
Mailing Address - Country:US
Mailing Address - Phone:856-690-9977
Mailing Address - Fax:856-507-9918
Practice Address - Street 1:1940 S WEST BLVD
Practice Address - Street 2:BLDG. A
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-7024
Practice Address - Country:US
Practice Address - Phone:856-690-9977
Practice Address - Fax:856-507-9918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty