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

Prime Pain Clinic PC

Organization Physical Therapist · NPI 1437579505

Prime Pain Clinic PC provides Physical Therapist services in Palisades Park, New Jersey. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 Broad Ave Ste N10
Palisades Park, NJ 07650
Phone: (201) 313-1122
Fax: (201) 941-1157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1437579505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tae Sik Ra — Owner · (201) 313-1122
NPI enumeratedApril 16, 2014
Last updated in NPPESDecember 22, 2016
Mailing address118 Broad Ave Suite N10, Palisades Park, NJ 07650

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