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

Provere Physical Therapy - Sparta

Organization Physical Therapist · NPI 1700251089

Provere Physical Therapy - Sparta is a Physical Therapist in Sparta, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015

Practice location Address checks out

14 Park Lake Rd
Sparta, NJ 07871-3241
Phone: (201) 485-8971
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA00611400 (NJ)

Record details

NPI number1700251089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cedric Haddad — Owner · (732) 221-7617
NPI enumeratedDecember 11, 2015
Last updated in NPPESDecember 11, 2015
Mailing address637 Wyckoff Ave, Pmb 362, Wyckoff, NJ 07481-1438

Other providers in Sparta