Provider Demographics
NPI:1134997836
Name:WITHIN PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:WITHIN PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:315-345-6271
Mailing Address - Street 1:4808 LEPINSKE FARM PL
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:NY
Mailing Address - Zip Code:13041-8999
Mailing Address - Country:US
Mailing Address - Phone:315-345-6271
Mailing Address - Fax:
Practice Address - Street 1:4808 LEPINSKE FARM PL
Practice Address - Street 2:
Practice Address - City:CLAY
Practice Address - State:NY
Practice Address - Zip Code:13041-8999
Practice Address - Country:US
Practice Address - Phone:315-345-6271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty