Provider Demographics
NPI:1013645464
Name:COMPREHENSIVE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDETH
Authorized Official - Middle Name:
Authorized Official - Last Name:STIEGLITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:518-618-4938
Mailing Address - Street 1:5507 NESCONSET HWY STE 10-239
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2031
Mailing Address - Country:US
Mailing Address - Phone:518-618-4938
Mailing Address - Fax:631-828-1882
Practice Address - Street 1:110 SUTTON CT
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-3024
Practice Address - Country:US
Practice Address - Phone:516-353-2660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1356211OtherECPTOTE
NY014010-1OtherNY DEPT ED