Provider Demographics
NPI:1770388399
Name:PHYSIO-LIFE PT P.C.
Entity type:Organization
Organization Name:PHYSIO-LIFE PT P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASHMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-573-9297
Mailing Address - Street 1:199 CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1117
Mailing Address - Country:US
Mailing Address - Phone:917-573-9297
Mailing Address - Fax:
Practice Address - Street 1:199 CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-1117
Practice Address - Country:US
Practice Address - Phone:917-573-9297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty