Provider Demographics
NPI:1962828913
Name:MAX EFFORT PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:MAX EFFORT PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BELMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:631-275-8906
Mailing Address - Street 1:5006 VETERANS MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-4514
Mailing Address - Country:US
Mailing Address - Phone:631-275-8906
Mailing Address - Fax:631-218-8656
Practice Address - Street 1:5006 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-4514
Practice Address - Country:US
Practice Address - Phone:631-275-8906
Practice Address - Fax:631-218-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0292291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty