Provider Demographics
NPI:1770192346
Name:DR T PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:DR T PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKIVSKYY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, FAAOMPT
Authorized Official - Phone:917-825-6644
Mailing Address - Street 1:1418 W 4TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4251
Mailing Address - Country:US
Mailing Address - Phone:917-825-6644
Mailing Address - Fax:
Practice Address - Street 1:153 BAY 26TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4938
Practice Address - Country:US
Practice Address - Phone:347-702-9958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy