Provider Demographics
NPI:1093887424
Name:THOMAS YARROBINO, PT, PC
Entity Type:Organization
Organization Name:THOMAS YARROBINO, PT, PC
Other - Org Name:OPTIMUM PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:YARROBINO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-864-6008
Mailing Address - Street 1:994 W JERICHO TPKE
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3235
Mailing Address - Country:US
Mailing Address - Phone:631-864-6008
Mailing Address - Fax:631-864-6009
Practice Address - Street 1:994 W JERICHO TPKE
Practice Address - Street 2:SUITE 202A
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3235
Practice Address - Country:US
Practice Address - Phone:631-864-6008
Practice Address - Fax:631-864-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017908208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty