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Organization Profile

Form Physical Therapy LLC

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At a glance

About Form Physical Therapy LLC

Form Physical Therapy LLC is a healthcare organization in West Orange, NJ, registered under clinic / center. The organization's National Provider Identifier (NPI) is 1053254540.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Clinic / Center (Primary)

Credentials & Licensing

NPINational Provider Identifier
1053254540Issued 2026

As reported to the NPI registry ↗

Common questions

What kind of practice is Form Physical Therapy LLC?

Form Physical Therapy LLC is a clinic / center in West Orange, NJ. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Form Physical Therapy LLC's address?

Form Physical Therapy LLC is listed at 39 Colonial Woods Dr, West Orange, NJ 07052. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Form Physical Therapy LLC?

The number on file is (732) 221-6703. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Form Physical Therapy LLC's NPI number?

Form Physical Therapy LLC's National Provider Identifier is 1053254540. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Has Form Physical Therapy LLC confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Form Physical Therapy LLC. If this is you, claiming it is free.

Guide.md

Is this your practice?

Manage this listing? Log in or create an account, then click “This is my practice and I manage it” here. A verified physician whose registry address matches this location is approved instantly; everyone else is reviewed by a person.

Guide.md listings do not constitute medical advice or an endorsement.

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