Provider Demographics
NPI:1275763401
Name:CARINGHANDS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:CARINGHANDS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.T.
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARROLL
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDONCA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-738-2236
Mailing Address - Street 1:12711 111TH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-1604
Mailing Address - Country:US
Mailing Address - Phone:718-738-2236
Mailing Address - Fax:718-738-2195
Practice Address - Street 1:12711 111TH AVE
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-1604
Practice Address - Country:US
Practice Address - Phone:718-738-2236
Practice Address - Fax:718-738-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherEIN