Provider Demographics
NPI:1841837754
Name:INSTINCT PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:INSTINCT PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TRACY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-336-1551
Mailing Address - Street 1:1748 DEAN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-3502
Mailing Address - Country:US
Mailing Address - Phone:347-336-1551
Mailing Address - Fax:
Practice Address - Street 1:1748 DEAN ST APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-3502
Practice Address - Country:US
Practice Address - Phone:347-336-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency