Provider Demographics
NPI:1326769787
Name:ESCOSIO-PASCUA PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:ESCOSIO-PASCUA PHYSICAL THERAPY PLLC
Other - Org Name:MOVE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOSIO-PASCUA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-783-4613
Mailing Address - Street 1:8908 171ST ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5432
Mailing Address - Country:US
Mailing Address - Phone:917-791-1800
Mailing Address - Fax:917-677-6617
Practice Address - Street 1:8908 171ST ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5432
Practice Address - Country:US
Practice Address - Phone:917-791-1800
Practice Address - Fax:917-677-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-05
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty