Provider Demographics
NPI:1922046655
Name:HANDS-ON PHYSICAL THERAPY OF BAYSIDE PC
Entity Type:Organization
Organization Name:HANDS-ON PHYSICAL THERAPY OF BAYSIDE PC
Other - Org Name:HANDS-ON PHYSICAL THERAPY OF NY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KONSTANTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-626-2699
Mailing Address - Street 1:3270 31ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2643
Mailing Address - Country:US
Mailing Address - Phone:718-707-6970
Mailing Address - Fax:718-707-6977
Practice Address - Street 1:20801 NORTHERN BLVD FL 3
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3151
Practice Address - Country:US
Practice Address - Phone:718-707-6970
Practice Address - Fax:718-707-6977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011188225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06322Medicare ID - Type UnspecifiedPHYSICAL THERAPY
NY06326HMedicare UPIN
NY06322GMedicare UPIN
NY06322IMedicare UPIN