Provider Demographics
NPI:1174254940
Name:OAK TREE PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:OAK TREE PHYSICAL THERAPY PC
Other - Org Name:LEWISBORO PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:914-907-9713
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:CROSS RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10518-0104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:876 ROUTE 35
Practice Address - Street 2:
Practice Address - City:CROSS RIVER
Practice Address - State:NY
Practice Address - Zip Code:10518
Practice Address - Country:US
Practice Address - Phone:914-763-5941
Practice Address - Fax:914-205-8390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OAK TREE PHYSICAL THERAPY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-22
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy