Provider Demographics
NPI:1588801286
Name:ABC THERAPEUTICS OCCUPATIONAL THERAPY AND PHYSICAL THERAPY,PLLC
Entity Type:Organization
Organization Name:ABC THERAPEUTICS OCCUPATIONAL THERAPY AND PHYSICAL THERAPY,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ALTERIO
Authorized Official - Suffix:
Authorized Official - Credentials:DR, OT, OTR
Authorized Official - Phone:716-580-3040
Mailing Address - Street 1:11390 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1017
Mailing Address - Country:US
Mailing Address - Phone:716-580-3040
Mailing Address - Fax:716-580-3042
Practice Address - Street 1:11390 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1017
Practice Address - Country:US
Practice Address - Phone:716-580-3040
Practice Address - Fax:716-580-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004155225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB9023Medicare UPIN