Provider Demographics
NPI:1912897463
Name:JOHN JUDE SHLIMOUN PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:JOHN JUDE SHLIMOUN PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:SCHLIMOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:914-879-9604
Mailing Address - Street 1:240 SICKLES AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-3710
Mailing Address - Country:US
Mailing Address - Phone:914-879-9604
Mailing Address - Fax:
Practice Address - Street 1:240 SICKLES AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-3710
Practice Address - Country:US
Practice Address - Phone:914-879-9604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty