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

Provere Physical Therapy - Springfield

Organization Physical Therapist · NPI 1821544693

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

In the registry since
2016
Specialties on file
3

Practice location Address checks out

901 Mountain Ave
Springfield, NJ 07081-3414
Phone: (732) 221-7617
Show map & directions

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 number1821544693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cedric Haddad — Ceo · (732) 221-7617
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 31, 2016
Mailing address637 Wyckoff Ave, Pmb 395, Wyckoff, NJ 07481

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