Provider Demographics
NPI:1699807131
Name:NEW DIMENSIONS PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:NEW DIMENSIONS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTKOWSKI-ABBATE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-304-5373
Mailing Address - Street 1:75 PLANDOME RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3004
Mailing Address - Country:US
Mailing Address - Phone:516-304-5373
Mailing Address - Fax:516-304-5375
Practice Address - Street 1:75 PLANDOME RD
Practice Address - Street 2:SUITE 5
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3004
Practice Address - Country:US
Practice Address - Phone:516-304-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-11
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0176611225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQAWVS1Medicare PIN