Provider Demographics
NPI:1851958201
Name:TONIC PHYSICAL THERAPY , PLLC
Entity Type:Organization
Organization Name:TONIC PHYSICAL THERAPY , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUGE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MSPT, CFMT
Authorized Official - Phone:917-929-9485
Mailing Address - Street 1:229 E 85TH ST UNIT G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-9609
Mailing Address - Country:US
Mailing Address - Phone:917-929-9485
Mailing Address - Fax:917-591-1029
Practice Address - Street 1:229 E 85TH ST UNIT G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-9609
Practice Address - Country:US
Practice Address - Phone:917-929-9485
Practice Address - Fax:917-591-1029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy