Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Beacon Physical Therapy PC

Organization Physical Therapist · NPI 1487743506

Beacon Physical Therapy PC provides Physical Therapist services in Maplewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34 Yale St
Maplewood, NJ 07040
Phone: (973) 762-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA00979300 (NJ)

Record details

NPI number1487743506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Davis — Owner · (973) 233-1514
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address45 Church Street, Apt C 17, Montclair, NJ 07042

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