Provider Demographics
NPI:1952547176
Name:IBE, JOY ORBON (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ORBON
Last Name:IBE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:BISMONTE
Other - Last Name:ORBON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:9053 180TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-5612
Mailing Address - Country:US
Mailing Address - Phone:646-496-8858
Mailing Address - Fax:718-526-0951
Practice Address - Street 1:9053 180TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5612
Practice Address - Country:US
Practice Address - Phone:646-496-8858
Practice Address - Fax:718-526-0951
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021748-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist