Provider Demographics
NPI:1760299051
Name:CORE FOUNDATIONS PHYSICAL THERAPY
Entity type:Organization
Organization Name:CORE FOUNDATIONS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:862-268-3673
Mailing Address - Street 1:136 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3004
Mailing Address - Country:US
Mailing Address - Phone:862-268-3673
Mailing Address - Fax:
Practice Address - Street 1:17 US HIGHWAY 206 STE 2
Practice Address - Street 2:
Practice Address - City:STANHOPE
Practice Address - State:NJ
Practice Address - Zip Code:07874-3274
Practice Address - Country:US
Practice Address - Phone:973-222-2629
Practice Address - Fax:973-695-1032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy