Provider Demographics
NPI:1881713352
Name:COMPREHENSIVE PHYSICAL THERAPY ASSOCIATES, P.C.
Entity type:Organization
Organization Name:COMPREHENSIVE PHYSICAL THERAPY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FERRARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-486-2848
Mailing Address - Street 1:60 E 56TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3349
Mailing Address - Country:US
Mailing Address - Phone:212-486-2848
Mailing Address - Fax:212-486-2578
Practice Address - Street 1:60 E 56TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3349
Practice Address - Country:US
Practice Address - Phone:914-486-2848
Practice Address - Fax:212-486-2578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022126-1261QP2000X
NY008667-1261QP2000X
NY009677-1261QP2000X
NY009453-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ62381Medicare ID - Type Unspecified
NYQ55781Medicare ID - Type Unspecified