Provider Demographics
NPI:1386218469
Name:PRIMPS PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:PRIMPS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIMPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:149-807-2239
Mailing Address - Street 1:1124 KELLOGG AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-3736
Mailing Address - Country:US
Mailing Address - Phone:914-980-7223
Mailing Address - Fax:
Practice Address - Street 1:9647 RIVER RD
Practice Address - Street 2:
Practice Address - City:MARCY
Practice Address - State:NY
Practice Address - Zip Code:13403-2076
Practice Address - Country:US
Practice Address - Phone:914-980-7223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy