Provider Demographics
NPI:1881844520
Name:LEVITT, NANCY ELLEN (PT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ELLEN
Last Name:LEVITT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:66 NEPTUNE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1752
Mailing Address - Country:US
Mailing Address - Phone:718-318-8550
Mailing Address - Fax:718-318-0607
Practice Address - Street 1:103-22 ROCKAWAY BEACH BLVD
Practice Address - Street 2:ROCKAWAY PARK PHYSICAL THERAPY AND AQUATIC CENTER
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694
Practice Address - Country:US
Practice Address - Phone:718-318-8550
Practice Address - Fax:718-318-0607
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006961-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic