Provider Demographics
NPI:1477544765
Name:BELLMORE PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:BELLMORE PHYSICAL THERAPY PC
Other - Org Name:JUST FOR KIDS PHYSICAL THERAPY PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:SETTANNI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-785-1667
Mailing Address - Street 1:2566 JERUSALEM AVE
Mailing Address - Street 2:
Mailing Address - City:N BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1832
Mailing Address - Country:US
Mailing Address - Phone:516-785-1667
Mailing Address - Fax:516-785-1668
Practice Address - Street 1:2566 JERUSALEM AVE
Practice Address - Street 2:
Practice Address - City:N BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1832
Practice Address - Country:US
Practice Address - Phone:516-785-1667
Practice Address - Fax:516-785-1668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ3W6R1Medicare UPIN