Provider Demographics
NPI:1275812406
Name:5 POINT PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:5 POINT PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FUTTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-226-2066
Mailing Address - Street 1:37 W 20TH ST STE 607
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3718
Mailing Address - Country:US
Mailing Address - Phone:212-226-2066
Mailing Address - Fax:212-500-0039
Practice Address - Street 1:37 W 20TH ST
Practice Address - Street 2:SUITE 806
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3706
Practice Address - Country:US
Practice Address - Phone:212-226-2066
Practice Address - Fax:212-500-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025816-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy