Provider Demographics
NPI:1164714200
Name:SIBYLLE K. GARRETT, PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:SIBYLLE K. GARRETT, PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIBYLLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:516-508-6165
Mailing Address - Street 1:27 DUNWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1638
Mailing Address - Country:US
Mailing Address - Phone:516-508-6165
Mailing Address - Fax:516-883-8289
Practice Address - Street 1:27 DUNWOOD RD
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-1638
Practice Address - Country:US
Practice Address - Phone:516-508-6165
Practice Address - Fax:516-883-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016799225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty