Provider Demographics
NPI:1710871686
Name:REACH PHYSICAL THERAPY - MASPETH PLLC
Entity type:Organization
Organization Name:REACH PHYSICAL THERAPY - MASPETH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PT
Authorized Official - Prefix:
Authorized Official - First Name:VINEETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLAI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:646-371-0045
Mailing Address - Street 1:8444 ELIOT AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1417
Mailing Address - Country:US
Mailing Address - Phone:718-424-1006
Mailing Address - Fax:718-424-1007
Practice Address - Street 1:6649 GRAND AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2540
Practice Address - Country:US
Practice Address - Phone:718-424-1006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REACH PHYSICAL THERAPY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty