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

Prime Pain Clinic PC

Organization Physical Therapist · NPI 1437579505

Prime Pain Clinic PC is a Physical Therapist in Palisades Park, New Jersey. Registered with an NPI since 2014.

In the registry since
2014
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

118 Broad Ave Ste N10
Palisades Park, NJ 07650
Phone: (201) 313-1122
Fax: (201) 941-1157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1437579505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tae Sik Ra — Owner · (201) 313-1122
NPI enumeratedApril 16, 2014
Last updated in NPPESDecember 22, 2016
Mailing address118 Broad Ave Suite N10, Palisades Park, NJ 07650

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