Provider Demographics
NPI:1952541328
Name:MIDDLETOWN PHYSICAL THERAPY, P.C
Entity Type:Organization
Organization Name:MIDDLETOWN PHYSICAL THERAPY, P.C
Other - Org Name:PHYSICAL THERAPY ORANGE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEANORE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-343-9619
Mailing Address - Street 1:201 DOLSON AVE STE G100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6572
Mailing Address - Country:US
Mailing Address - Phone:845-343-9619
Mailing Address - Fax:
Practice Address - Street 1:201 DOLSON AVE STE G100
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6572
Practice Address - Country:US
Practice Address - Phone:845-343-9619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1003018722OtherNPI