Organization · NPI-2

.Physical Therapy For The 21st Century

Physical Therapist · Bay Shore, NY

NPI number1629370846

StatusActive

Last updated in NPPESNov 19, 2010

Details

NPI: 1629370846
Entity type: Organization (NPI-2)
Legal business name: .Physical Therapy For The 21st Century
Organization subpart: No
Enumeration date: Nov 19, 2010
Last updated: Nov 19, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	–	–	Yes
2251G0304X	Physical Therapist, Geriatrics	–	–
2251N0400X	Physical Therapist, Neurology	–	–
2251P0200X	Physical Therapist, Pediatrics	–	–
2251S0007X	Physical Therapist, Sports	–	–
2251X0800X	Physical Therapist, Orthopedic	–	–
225200000X	Physical Therapy Assistant	–	–

Practice location

24 Brentwood Rd
Bay Shore, NY 11706-8011

Phone 631-666-8100 · Fax 631-665-2227

Mailing address

24 Brentwood Rd
Bay Shore, NY 11706-8011

Phone 631-666-8100 · Fax 631-665-2227

Authorized official

Deidre M. Postupack
Physical Therapist
6316668100

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