Provider Demographics
NPI:1629361878
Name:IN-STRIDE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:IN-STRIDE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMASINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-909-1306
Mailing Address - Street 1:5 TEE VIEW COURT
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2939
Mailing Address - Country:US
Mailing Address - Phone:631-909-1306
Mailing Address - Fax:631-874-4105
Practice Address - Street 1:5 TEE VIEW COURT
Practice Address - Street 2:
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-2939
Practice Address - Country:US
Practice Address - Phone:631-909-1306
Practice Address - Fax:631-874-4105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013827-1225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty