Provider Demographics
NPI:1477388510
Name:ZERO GRAVITY THERAPEUTIC, PLLC
Entity type:Organization
Organization Name:ZERO GRAVITY THERAPEUTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:MA JHOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRADO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:718-810-4717
Mailing Address - Street 1:8413 52ND AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4320
Mailing Address - Country:US
Mailing Address - Phone:347-335-4048
Mailing Address - Fax:718-875-4545
Practice Address - Street 1:5214 VAN LOON ST APT 1A
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4266
Practice Address - Country:US
Practice Address - Phone:347-335-4048
Practice Address - Fax:718-875-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy