Provider Demographics
NPI:1841852274
Name:ASSURED CARE PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:ASSURED CARE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FERDINAND
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-744-5542
Mailing Address - Street 1:4540 CENTER BLVD APT 3009
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11109-5821
Mailing Address - Country:US
Mailing Address - Phone:917-744-5542
Mailing Address - Fax:
Practice Address - Street 1:17541 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5724
Practice Address - Country:US
Practice Address - Phone:718-779-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-06
Last Update Date:2019-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty