Provider Demographics
NPI:1538318670
Name:FUTURE PHYSICAL THERAPY VISIONS, P.C.
Entity Type:Organization
Organization Name:FUTURE PHYSICAL THERAPY VISIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BENONS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-729-8041
Mailing Address - Street 1:23847 117TH RD
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4012
Mailing Address - Country:US
Mailing Address - Phone:516-729-8041
Mailing Address - Fax:
Practice Address - Street 1:23847 117TH RD
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4012
Practice Address - Country:US
Practice Address - Phone:516-729-8041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-13
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ6WWS1Medicare PIN