Provider Demographics
NPI:1851519540
Name:COMPLETE CARE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:COMPLETE CARE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SALINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-670-7033
Mailing Address - Street 1:340 VETERANS MEMORIAL HIGHWAY
Mailing Address - Street 2:SUITE #1
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-670-7033
Mailing Address - Fax:631-670-7688
Practice Address - Street 1:340 VETERANS MEMORIAL HIGHWAY
Practice Address - Street 2:SUITE #1
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-670-7033
Practice Address - Fax:631-670-7688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011429225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty