Provider Demographics
NPI:1558404095
Name:PHYSICAL THERAPY GROUP OF WESTCHESTER PC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY GROUP OF WESTCHESTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT MA DPT
Authorized Official - Phone:914-253-6457
Mailing Address - Street 1:10 RYE RIDGE PLAZA
Mailing Address - Street 2:SUITE 219
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573
Mailing Address - Country:US
Mailing Address - Phone:914-253-6457
Mailing Address - Fax:914-253-6458
Practice Address - Street 1:10 RYE RIDGE PLAZA
Practice Address - Street 2:SUITE 219
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573
Practice Address - Country:US
Practice Address - Phone:914-253-6457
Practice Address - Fax:914-253-6458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ2WNM1Medicare PIN