Provider Demographics
NPI:1881713956
Name:HEALTH ONE PHYSICAL THERAPY,PC
Entity type:Organization
Organization Name:HEALTH ONE PHYSICAL THERAPY,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARZIC
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:718-505-0707
Mailing Address - Street 1:3717 90TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-7868
Mailing Address - Country:US
Mailing Address - Phone:718-505-0707
Mailing Address - Fax:708-505-9199
Practice Address - Street 1:384 EAST 149TH STREET SUITE 318
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:718-401-6888
Practice Address - Fax:718-401-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015377-1261QP3300X, 261QR0400X, 261QR0401X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)