Provider Demographics
NPI:1235174228
Name:H&D PHYSICAL THERAPY & OCCUPATIONAL THERAPY PLLC
Entity Type:Organization
Organization Name:H&D PHYSICAL THERAPY & OCCUPATIONAL THERAPY PLLC
Other - Org Name:H&D PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BC ACCOUTNS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAGABAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-499-0876
Mailing Address - Street 1:815 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4503
Mailing Address - Country:US
Mailing Address - Phone:212-499-0876
Mailing Address - Fax:212-953-1353
Practice Address - Street 1:815 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4503
Practice Address - Country:US
Practice Address - Phone:212-499-0848
Practice Address - Fax:212-753-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1779725OtherUNITED HEALTHCARE
7510226OtherAETNA
NY1779725OtherUNITED HEALTHCARE
NY1235174228Medicare NSC