Provider Demographics
NPI:1710444807
Name:ACOSTA WORKS PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:ACOSTA WORKS PHYSICAL THERAPY, PC
Other - Org Name:ACOSTA WORKS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-312-0082
Mailing Address - Street 1:585 PLANDOME RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1971
Mailing Address - Country:US
Mailing Address - Phone:516-447-1605
Mailing Address - Fax:
Practice Address - Street 1:585 PLANDOME RD STE 102
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-1971
Practice Address - Country:US
Practice Address - Phone:516-447-1605
Practice Address - Fax:516-387-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy