Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Physical Therapy PC

Organization Physical Therapist · NPI 1487743506

Beacon Physical Therapy PC is a Physical Therapist 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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