Provider Demographics
NPI:1841776879
Name:INFINITE KINDNESS PHYSICAL THERAPY, P.C
Entity Type:Organization
Organization Name:INFINITE KINDNESS PHYSICAL THERAPY, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RALUCHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUBOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-355-6425
Mailing Address - Street 1:15319 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3943
Mailing Address - Country:US
Mailing Address - Phone:631-355-6425
Mailing Address - Fax:
Practice Address - Street 1:15319 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3943
Practice Address - Country:US
Practice Address - Phone:631-355-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty