Provider Demographics
NPI:1083717870
Name:SLOANE STECKER PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:SLOANE STECKER PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SLOANE
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:STECKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-375-3434
Mailing Address - Street 1:1 BRIDGE ST
Mailing Address - Street 2:SUITE 71
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1543
Mailing Address - Country:US
Mailing Address - Phone:914-375-3434
Mailing Address - Fax:914-375-3402
Practice Address - Street 1:1 BRIDGE ST
Practice Address - Street 2:SUITE 71
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1543
Practice Address - Country:US
Practice Address - Phone:914-375-3434
Practice Address - Fax:914-375-3402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0158011225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ6W8B1Medicare ID - Type Unspecified