Provider Demographics
NPI:1417189648
Name:IN TOUCH PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:IN TOUCH PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORREIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-731-2180
Mailing Address - Street 1:103 MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1316
Mailing Address - Country:US
Mailing Address - Phone:516-731-2180
Mailing Address - Fax:
Practice Address - Street 1:103 MORRIS DR
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1316
Practice Address - Country:US
Practice Address - Phone:516-731-2180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012107-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty