Provider Demographics
NPI:1609866896
Name:TRUE WAY PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:TRUE WAY PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:M
Authorized Official - Last Name:CADDAUAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-725-4111
Mailing Address - Street 1:340 ARDSLEY RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2459
Mailing Address - Country:US
Mailing Address - Phone:914-725-4111
Mailing Address - Fax:914-725-5111
Practice Address - Street 1:340 ARDSLEY RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2459
Practice Address - Country:US
Practice Address - Phone:914-725-4111
Practice Address - Fax:914-725-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q4W9DMedicare ID - Type Unspecified