Provider Demographics
NPI:1265640015
Name:VORTEX PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:VORTEX PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOTAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEV
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:518-281-2890
Mailing Address - Street 1:56 FERN HILL RD
Mailing Address - Street 2:
Mailing Address - City:GHENT
Mailing Address - State:NY
Mailing Address - Zip Code:12075-3902
Mailing Address - Country:US
Mailing Address - Phone:518-281-2890
Mailing Address - Fax:
Practice Address - Street 1:1075 HARLEMVILLE RD
Practice Address - Street 2:
Practice Address - City:GHENT
Practice Address - State:NY
Practice Address - Zip Code:12075-1901
Practice Address - Country:US
Practice Address - Phone:518-281-2890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty