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

Provere Physical Therapy - Paramus LLC

Organization Sports Physical Therapist · NPI 1962925412

Provere Physical Therapy - Paramus LLC is a Sports Physical Therapist in Paramus, New Jersey. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

407 Sette Dr Bldg E
Paramus, NJ 07652-2940
Phone: (201) 538-7131
Fax: (201) 538-7131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X

Record details

NPI number1962925412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cedric Haddad — Co-Owner · (201) 538-7131
NPI enumeratedJuly 17, 2017
Last updated in NPPESJuly 17, 2017
Mailing address637 Wyckoff Ave Pmb 361, Wyckoff, NJ 07481-1438

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