Provider Demographics
NPI:1811195548
Name:ST. THOMAS PHYSICAL THERAPY. INC.,
Entity Type:Organization
Organization Name:ST. THOMAS PHYSICAL THERAPY. INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:RAMSIS
Authorized Official - Last Name:BISHAY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-514-5152
Mailing Address - Street 1:881 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-1840
Mailing Address - Country:US
Mailing Address - Phone:201-836-8796
Mailing Address - Fax:
Practice Address - Street 1:2426 EASTCHESTER RD
Practice Address - Street 2:SUITE 212
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5916
Practice Address - Country:US
Practice Address - Phone:718-231-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022012-1320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities