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

Fair Lawn Spine & PT Care LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1790735959

Fair Lawn Spine & PT Care LLC is a Physical Medicine & Rehabilitation Physician in Fair Lawn, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
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

19-21 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone: (201) 794-6868
Fax: (201) 794-6003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1790735959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Thimmel — Clinic Director · (201) 794-6868
NPI enumeratedMay 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address19-21 Fair Lawn Ave, Fair Lawn, NJ 07410

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