Provider Demographics
NPI:1841845450
Name:PARROTTA PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:PARROTTA PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARROTTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-637-0496
Mailing Address - Street 1:1 HIGHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3644
Mailing Address - Country:US
Mailing Address - Phone:516-637-0496
Mailing Address - Fax:
Practice Address - Street 1:1 HIGHRIDGE DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3644
Practice Address - Country:US
Practice Address - Phone:516-637-0496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy