Provider Demographics
NPI:1689321267
Name:YOGI SPINE CARE AND PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:YOGI SPINE CARE AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSHIYA
Authorized Official - Suffix:
Authorized Official - Credentials:PT MS DPT
Authorized Official - Phone:731-798-8180
Mailing Address - Street 1:85 MAKEFIELD RD STE 10
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5967
Mailing Address - Country:US
Mailing Address - Phone:267-797-1699
Mailing Address - Fax:267-379-0157
Practice Address - Street 1:85 MAKEFIELD RD STE 10
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5967
Practice Address - Country:US
Practice Address - Phone:267-797-1699
Practice Address - Fax:267-379-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty