Provider Demographics
NPI:1659451052
Name:HOLT & FLOWERS PHYSICAL THERAPY ASSOCIATES LLP
Entity Type:Organization
Organization Name:HOLT & FLOWERS PHYSICAL THERAPY ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-379-0035
Mailing Address - Street 1:61 EASTERN PKWY
Mailing Address - Street 2:STE 1D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5915
Mailing Address - Country:US
Mailing Address - Phone:718-622-4016
Mailing Address - Fax:718-857-7094
Practice Address - Street 1:61 EASTERN PKWY
Practice Address - Street 2:STE 1D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-5915
Practice Address - Country:US
Practice Address - Phone:718-622-4016
Practice Address - Fax:718-857-7094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ10811Medicare ID - Type Unspecified