Provider Demographics
NPI:1497901664
Name:ZYTC PHYSICAL THERAPY GROUP PLLC
Entity Type:Organization
Organization Name:ZYTC PHYSICAL THERAPY GROUP PLLC
Other - Org Name:PROCAREPLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TED
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-589-4467
Mailing Address - Street 1:274 W. 145TH STREET
Mailing Address - Street 2:SUITE #310
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039
Mailing Address - Country:US
Mailing Address - Phone:212-368-7800
Mailing Address - Fax:212-368-7803
Practice Address - Street 1:274 W 145TH ST
Practice Address - Street 2:SUITE #310
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-4122
Practice Address - Country:US
Practice Address - Phone:212-368-7800
Practice Address - Fax:212-368-7803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020223261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy