Provider Demographics
NPI:1558174037
Name:UPLIFT PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:UPLIFT PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRETTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-680-5126
Mailing Address - Street 1:200 S MIDDLE NECK RD APT C3
Mailing Address - Street 2:
Mailing Address - City:GREAT NCK PLZ
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4626
Mailing Address - Country:US
Mailing Address - Phone:917-680-5126
Mailing Address - Fax:
Practice Address - Street 1:1 W 34TH ST RM 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3011
Practice Address - Country:US
Practice Address - Phone:917-680-5126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy