Provider Demographics
NPI:1083816698
Name:PHYSICAL THERAPY SOLUTIONS PLLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS PLLC
Other - Org Name:THERAPY SOLUTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHVARTSSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-791-1044
Mailing Address - Street 1:30 GEOFFREY LN
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1003
Mailing Address - Country:US
Mailing Address - Phone:516-791-1044
Mailing Address - Fax:
Practice Address - Street 1:30 GEOFFREY LN
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1003
Practice Address - Country:US
Practice Address - Phone:516-791-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019129-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty