Provider Demographics
NPI:1578720645
Name:MAXIMUM MOTION PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:MAXIMUM MOTION PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:516-557-6466
Mailing Address - Street 1:565 ALBANY AVE
Mailing Address - Street 2:PHYSICAL THERAPY SUITE
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-1115
Mailing Address - Country:US
Mailing Address - Phone:516-557-6466
Mailing Address - Fax:
Practice Address - Street 1:565 ALBANY AVE
Practice Address - Street 2:PHYSICAL THERAPY SUITE
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-1115
Practice Address - Country:US
Practice Address - Phone:516-557-6466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty