Provider Demographics
NPI:1538312806
Name:PHYSICAL THERAPY PLUS, PLLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY PLUS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GITTY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:1917-833-1662
Mailing Address - Street 1:9955 65TH AVE
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3652
Mailing Address - Country:US
Mailing Address - Phone:917-833-1662
Mailing Address - Fax:435-921-4303
Practice Address - Street 1:9955 65TH AVE
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3652
Practice Address - Country:US
Practice Address - Phone:917-833-1662
Practice Address - Fax:435-921-4303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029366-1320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities