Clarke Physical Therapy, PLLC
Physical Therapist, Orthopedic in Mineola, NY. Organization (NPI-2).
NPI number1376241893
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1376241893
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarke Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2023
- Certification date
- Feb 23, 2023
- Last updated
- Feb 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | – | – | Yes |
| 2251S0007X | Physical Therapist, Sports | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Other names
- Kinetix (Doing Business As)
Practice location
75 E Jericho TpkeMineola, NY 11501-3106
Phone 631-338-0921
Mailing address
75 E Jericho TpkeMineola, NY 11501-3106
Phone 631-338-0921
Authorized official
Brendan Clarke
Owner
5165685386
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