NPI 1003064452

Proadvantage Physical Therapy Incorporated

Organisation Physical Therapy Clinic/Center Cliffside Park, NJ

Practice location

Address: 200 Winston Dr APT 119, Cliffside Park, NJ 07010-3209
Phone: (617) 620-2137

Authorised official

Name: Yevgeny Fedosenko
Title: Owner
Phone: (617) 620-2137

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 40QA01242600 (NJ)

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1003064452
Entity type: Organization
NPI issued: 28 Aug 2008
Record last updated: 18 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.