Provider Demographics
NPI:1841362498
Name:PERKINS CHIROPRACTIC & PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:PERKINS CHIROPRACTIC & PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PT
Authorized Official - Phone:518-324-6090
Mailing Address - Street 1:87 HAMMOND LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2000
Mailing Address - Country:US
Mailing Address - Phone:518-324-6090
Mailing Address - Fax:
Practice Address - Street 1:87 HAMMOND LN
Practice Address - Street 2:SUITE A
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2000
Practice Address - Country:US
Practice Address - Phone:518-324-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010884-1111N00000X
NYX011137-1111N00000X
NY025940-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1740230218OtherDR. BLAGOUE, NPI
NY1184695439OtherDR. PERKINS, NPI
NY02563751Medicaid
V02552Medicare UPIN
NYBA0267Medicare ID - Type Unspecified
NY1184695439OtherDR. PERKINS, NPI
NYRA8869Medicare ID - Type Unspecified
NYRA3025Medicare ID - Type Unspecified