Provider Demographics
NPI:1083362974
Name:HULEATT, ZACHARY PETER (PT)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:PETER
Last Name:HULEATT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:ESOPUS
Mailing Address - State:NY
Mailing Address - Zip Code:12429-0269
Mailing Address - Country:US
Mailing Address - Phone:845-332-2950
Mailing Address - Fax:
Practice Address - Street 1:1001 BROADWAY
Practice Address - Street 2:
Practice Address - City:ESOPUS
Practice Address - State:NY
Practice Address - Zip Code:12429-2500
Practice Address - Country:US
Practice Address - Phone:845-384-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0286322251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports