Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sport and Spine Physical Therapy Center Inc

Organization Specialist · NPI 1629294764

Sport and Spine Physical Therapy Center Inc provides Specialist services in Tenafly, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 N Summitt St
Tenafly, NJ 07670 Not confirmed with CMS for 18 years — call before visiting
Phone: (201) 816-0042
Fax: (201) 816-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence QA08961 (NJ)

Record details

NPI number1629294764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Donofrio — President · (201) 543-3902
NPI enumeratedApril 17, 2007
Last updated in NPPESOctober 25, 2007
Mailing address595 Wildwood Rd West, Northvale, NJ 07647-1125

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