Provider Demographics
NPI:1548220742
Name:WESTCHESTER SPORTS PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:WESTCHESTER SPORTS PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RENATO
Authorized Official - Middle Name:TOMAS
Authorized Official - Last Name:GRAMMATICA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-722-2400
Mailing Address - Street 1:672 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5008
Mailing Address - Country:US
Mailing Address - Phone:914-722-2400
Mailing Address - Fax:914-722-2406
Practice Address - Street 1:672 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5008
Practice Address - Country:US
Practice Address - Phone:914-722-2400
Practice Address - Fax:914-722-2406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ52963Medicare ID - Type UnspecifiedPHYSICAL THERAPIST