1407083686 NPI number — JEFFERSON SPORTS & PHYSICAL THERAPY, PC

Table of content: (NPI 1407083686)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407083686 NPI number — JEFFERSON SPORTS & PHYSICAL THERAPY, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JEFFERSON SPORTS & PHYSICAL THERAPY, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407083686
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
460 COUNTY ROAD 111
Provider Second Line Business Mailing Address:
#15
Provider Business Mailing Address City Name:
MANORVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11949
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-909-8712
Provider Business Mailing Address Fax Number:
631-909-8714

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
460 COUNTY ROAD 111
Provider Second Line Business Practice Location Address:
#15
Provider Business Practice Location Address City Name:
MANORVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-909-8712
Provider Business Practice Location Address Fax Number:
631-909-8714
Provider Enumeration Date:
06/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HEIM
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
OWNER/PHYSICAL THERAPIST
Authorized Official Telephone Number:
631-928-2277

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  007458 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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