Provider Demographics
NPI:1205997822
Name:MICHAEL P MCGEE PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:MICHAEL P MCGEE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:315-656-4217
Mailing Address - Street 1:5900 N BURDICK ST
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9462
Mailing Address - Country:US
Mailing Address - Phone:315-656-4217
Mailing Address - Fax:315-656-4619
Practice Address - Street 1:5900 N BURDICK ST
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9462
Practice Address - Country:US
Practice Address - Phone:315-656-4217
Practice Address - Fax:315-656-4619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0975Medicare PIN