Provider Demographics
NPI:1497278055
Name:PHYT REHAB OF MISSOURI INC
Entity Type:Organization
Organization Name:PHYT REHAB OF MISSOURI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HELFGOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-256-6000
Mailing Address - Street 1:171 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1023
Mailing Address - Country:US
Mailing Address - Phone:718-256-6000
Mailing Address - Fax:718-535-1341
Practice Address - Street 1:202 E MILL ST
Practice Address - Street 2:
Practice Address - City:HUMANSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65674-8507
Practice Address - Country:US
Practice Address - Phone:417-754-8711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty