Provider Demographics
NPI:1659158889
Name:VENTUS THERAPY LLC
Entity Type:Organization
Organization Name:VENTUS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YOSHIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-784-8985
Mailing Address - Street 1:163-01 DEPOT RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358
Mailing Address - Country:US
Mailing Address - Phone:516-518-4478
Mailing Address - Fax:
Practice Address - Street 1:163-01 DEPOT RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358
Practice Address - Country:US
Practice Address - Phone:516-518-4478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty