Provider Demographics
NPI:1285663278
Name:CHELSEA PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:CHELSEA PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-488-7300
Mailing Address - Street 1:359 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2202
Mailing Address - Country:US
Mailing Address - Phone:212-488-7300
Mailing Address - Fax:212-488-7303
Practice Address - Street 1:359 W 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2202
Practice Address - Country:US
Practice Address - Phone:212-488-7300
Practice Address - Fax:212-488-7303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012165261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy