Provider Demographics
NPI:1801272927
Name:NEW YORK CITY PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:NEW YORK CITY PHYSICAL THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:HEINEMANS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:646-661-5190
Mailing Address - Street 1:300 PARK AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7414
Mailing Address - Country:US
Mailing Address - Phone:855-999-2767
Mailing Address - Fax:
Practice Address - Street 1:300 PARK AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7414
Practice Address - Country:US
Practice Address - Phone:855-999-2767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031015-1225100000X
NY032594-1225100000X
NY038409225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1316187883OtherNPI
1821637901OtherNPI
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NY1407231194OtherNPI
NY1972829877OtherNPI