Provider Demographics
NPI:1770741969
Name:PHYSICAL THERAPY EXPERT, PLLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY EXPERT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-875-8345
Mailing Address - Street 1:101 W 55TH ST
Mailing Address - Street 2:SUITE 13-F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-875-8345
Mailing Address - Fax:212-875-0143
Practice Address - Street 1:101 W 55TH ST
Practice Address - Street 2:SUITE 13-F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-875-8345
Practice Address - Fax:212-875-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-25
Last Update Date:2020-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023784261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy