Provider Demographics
NPI:1114239605
Name:CARING PHYSICAL THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:CARING PHYSICAL THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZAKARIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-702-9502
Mailing Address - Street 1:5 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2647
Mailing Address - Country:US
Mailing Address - Phone:347-702-9502
Mailing Address - Fax:516-812-3925
Practice Address - Street 1:5 OAK ST
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2647
Practice Address - Country:US
Practice Address - Phone:347-702-9502
Practice Address - Fax:516-812-3925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024625261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03109088Medicaid
NYA4000012455Medicare PIN