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

Edge Pro Sports Rehab Institute, LLC

Organization Physical Therapist · NPI 1124519160

Edge Pro Sports Rehab Institute, LLC is a Physical Therapist in Paramus, New Jersey. Works from 3 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 Sette Dr
Paramus, NJ 07652
Phone: (201) 538-7131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 53 Henry St, Elmwood Park, NJ 07407-2409 — (201) 783-2332
  • 53 Henry St, Elmwood Park, NJ 07407-2409 — (201) 783-2332

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01510100 (NJ)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1124519160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Kim — Managing Director · (201) 783-2332
NPI enumeratedMay 25, 2018
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address80 E Rte 4 Ste 100, Paramus, NJ 07652-2647

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