Fun Fitness Physical Therapy PC
Physical Therapist in Jamaica, NY. Organization (NPI-2).
NPI number1124172804
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124172804
- Entity type
- Organization (NPI-2)
- Legal business name
- Fun Fitness Physical Therapy PC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 017273 | NY | Yes |
Practice location
8014 170th StJamaica, NY 11432-1331
Phone 212-674-4616
Mailing address
8014 170th StJamaica, NY 11432-1331
Authorized official
Deborah Goetz
President
2126744616
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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