Provider Demographics
NPI:1578343786
Name:THOMAS F PHILIPPE OCCUPATIONAL THERAPY SERVICES, PC
Entity Type:Organization
Organization Name:THOMAS F PHILIPPE OCCUPATIONAL THERAPY SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:FREDEL
Authorized Official - Last Name:PHILIPPE
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:347-495-3248
Mailing Address - Street 1:14328 182ND PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-3221
Mailing Address - Country:US
Mailing Address - Phone:347-495-3248
Mailing Address - Fax:
Practice Address - Street 1:14328 182ND PL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-3221
Practice Address - Country:US
Practice Address - Phone:347-495-3248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty