Provider Demographics
NPI:1770831596
Name:HOWARD PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:HOWARD PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ELIOT
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:716-656-1880
Mailing Address - Street 1:4845 TRANSIT ROAD
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4867
Mailing Address - Country:US
Mailing Address - Phone:716-656-1880
Mailing Address - Fax:716-668-9426
Practice Address - Street 1:4845 TRANSIT ROAD
Practice Address - Street 2:SUITE C-1
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14043-4867
Practice Address - Country:US
Practice Address - Phone:716-656-1880
Practice Address - Fax:716-668-9426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY92412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty