1588627871 NPI number — DOWNSTATE PHYSICAL THERAPY ASSOCIATES, INC.

Table of content: (NPI 1588627871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588627871 NPI number — DOWNSTATE PHYSICAL THERAPY ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOWNSTATE PHYSICAL THERAPY ASSOCIATES, INC.
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:
1588627871
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 15488
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANTATION
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33318-5488
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-609-4797
Provider Business Mailing Address Fax Number:
954-423-3283

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10575 NW 11TH CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANTATION
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33322-6563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-609-4797
Provider Business Practice Location Address Fax Number:
954-423-3283
Provider Enumeration Date:
04/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MAYOTT
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
JOHN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-609-4797

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  15798 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 15565 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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