Provider Demographics
NPI:1245003169
Name:NEAR ME PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:NEAR ME PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SEO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-359-1004
Mailing Address - Street 1:4029 235TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1509
Mailing Address - Country:US
Mailing Address - Phone:718-359-1004
Mailing Address - Fax:718-691-4053
Practice Address - Street 1:4029 235TH ST FL 2
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11363-1509
Practice Address - Country:US
Practice Address - Phone:718-359-1004
Practice Address - Fax:718-691-4053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty