Provider Demographics
NPI:1467088815
Name:FLEX PHYSICAL THERAPY SERVICES PLLC
Entity Type:Organization
Organization Name:FLEX PHYSICAL THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:607-624-2060
Mailing Address - Street 1:PO BOX 709
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13851-0709
Mailing Address - Country:US
Mailing Address - Phone:607-624-2060
Mailing Address - Fax:607-348-1768
Practice Address - Street 1:611 DIMMOCK HILL ROAD
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-1390
Practice Address - Country:US
Practice Address - Phone:607-524-2060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty