Provider Demographics
NPI:1497041107
Name:TOTAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:TOTAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHABNAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:THANAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-747-1909
Mailing Address - Street 1:19 OAKLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-3401
Mailing Address - Country:US
Mailing Address - Phone:631-747-1909
Mailing Address - Fax:
Practice Address - Street 1:19 OAKLAND HILLS DR
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-3401
Practice Address - Country:US
Practice Address - Phone:631-747-1909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2000X, 261QR0400X
NY024104-1261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)