OrganizationActive
Sports Medicine Center of Bergen, PA
NPI 1609990019 · Sports Physical Therapist · Hackensack, NJ
Provider details
- NPI number
- 1609990019
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gary Flink, Vice President(201) 488-0788
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
605 Main St
Hackensack, NJ 07601-5914
Phone: (201) 488-0488
Fax: (201) 488-5787
Approximate (ZIP-level) locationGet directions
Mailing address
605 Main St
Hackensack, NJ 07601-5914
Other names (DBA / former)
- Doing business as
- Excel Orthopedic Rehabilitation
- Doing business as
- Excel Orthopedic Rehabilitation
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.