Provider Demographics
NPI:1346586062
Name:COMPREHENSIVE PHYSICAL THERAPY SOLUTIONS P L L C
Entity Type:Organization
Organization Name:COMPREHENSIVE PHYSICAL THERAPY SOLUTIONS P L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CIPRIONI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:518-915-1452
Mailing Address - Street 1:81 MILLER RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CASTLETON
Mailing Address - State:NY
Mailing Address - Zip Code:12033-4035
Mailing Address - Country:US
Mailing Address - Phone:518-915-1452
Mailing Address - Fax:518-729-3181
Practice Address - Street 1:81 MILLER RD
Practice Address - Street 2:SUITE 400
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033-4035
Practice Address - Country:US
Practice Address - Phone:518-915-1452
Practice Address - Fax:518-729-3181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPO4758Medicare UPIN
NYRA1510Medicare PIN