Graduated: 2024
NPI: 1003648924
Practice Locations (3)
SPORTSMED PT LLC
266 HARRISTOWN RD, SUITE 200
GLEN ROCK, NJ 074523354
2014457000
SPORTSMED PT LLC
720 BERGEN AVE
JERSEY CITY, NJ 073064706
2018570527
SPORTSMED PT LLC
211 BERDAN AVE
WAYNE, NJ 074703236
2012496930
Source: CMS National Downloadable File, September 2026.