Provider Demographics
NPI:1114458098
Name:INNER STRENGTH PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:INNER STRENGTH PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARINI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-612-4964
Mailing Address - Street 1:1767 CENTRAL PARK AVE STE 429
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2828
Mailing Address - Country:US
Mailing Address - Phone:914-505-6556
Mailing Address - Fax:914-505-6241
Practice Address - Street 1:1767 CENTRAL PARK AVE STE 429
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2828
Practice Address - Country:US
Practice Address - Phone:914-505-6556
Practice Address - Fax:914-505-6241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030701225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty