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

Provere Physical Therapy - Montclair, LLC

Organization Physical Therapist · NPI 1831550078

Provere Physical Therapy - Montclair, LLC is a Physical Therapist in Montclair, New Jersey. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
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 Elm St
Montclair, NJ 07042-3451
Phone: (201) 485-8971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Sports Physical Therapist Taxonomy 2251S0007X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1831550078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cedric Haddad — Ceo · (201) 485-8971
NPI enumeratedMarch 16, 2016
Last updated in NPPESMarch 16, 2016
Mailing address637 Wyckoff Ave, Unit 364, Wyckoff, NJ 07481-1438

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