Provider Demographics
NPI:1982858106
Name:P.T. AND PILATES INC.
Entity Type:Organization
Organization Name:P.T. AND PILATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-486-0888
Mailing Address - Street 1:115 E 57TH ST
Mailing Address - Street 2:#1460
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2049
Mailing Address - Country:US
Mailing Address - Phone:212-486-0888
Mailing Address - Fax:212-486-0999
Practice Address - Street 1:115 E 57TH ST
Practice Address - Street 2:#1460
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2049
Practice Address - Country:US
Practice Address - Phone:212-486-0888
Practice Address - Fax:212-486-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006952261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ61041Medicare PIN