Provider Demographics
NPI:1053646620
Name:TRANS PHYSICAL THERAPY & REHABILITATION PLLC
Entity Type:Organization
Organization Name:TRANS PHYSICAL THERAPY & REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VIREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-288-5131
Mailing Address - Street 1:1513 SEMINOLE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2209
Mailing Address - Country:US
Mailing Address - Phone:917-288-5131
Mailing Address - Fax:
Practice Address - Street 1:2008 EASTCHESTER RD
Practice Address - Street 2:SUITE A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2209
Practice Address - Country:US
Practice Address - Phone:917-288-5131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026667225100000X
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY026667OtherNY STATE LICENSE