Provider Demographics
NPI:1932583663
Name:HANDS OF HOPE PT PC
Entity Type:Organization
Organization Name:HANDS OF HOPE PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOTAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:EBEIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-212-6672
Mailing Address - Street 1:2531 STEINWAY ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3788
Mailing Address - Country:US
Mailing Address - Phone:929-463-7104
Mailing Address - Fax:347-396-3153
Practice Address - Street 1:1467 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-3851
Practice Address - Country:US
Practice Address - Phone:347-396-3599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036547-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty