Provider Demographics
NPI:1588807705
Name:HIMMELWEIT, ORLI (MS, PT)
Entity Type:Individual
Prefix:MS
First Name:ORLI
Middle Name:
Last Name:HIMMELWEIT
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W 104TH ST
Mailing Address - Street 2:8B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4135
Mailing Address - Country:US
Mailing Address - Phone:212-222-8519
Mailing Address - Fax:
Practice Address - Street 1:309 W 104TH ST
Practice Address - Street 2:8B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4135
Practice Address - Country:US
Practice Address - Phone:212-222-8519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0212502251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics