1811097306 NPI number — COMPLETE REHABILITATION AND SPORTS PHYSICAL THERAPY, PC

Table of content: (NPI 1811097306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811097306 NPI number — COMPLETE REHABILITATION AND SPORTS PHYSICAL THERAPY, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPLETE REHABILITATION AND 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:
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NPI Number Information

NPI Number:
1811097306
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:
15 HAWKINS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RONKONKOMA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11779-5832
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-585-5915
Provider Business Mailing Address Fax Number:
631-585-5916

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 HAWKINS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RONKONKOMA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11779-5832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-585-5915
Provider Business Practice Location Address Fax Number:
631-585-5916
Provider Enumeration Date:
09/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
CHAD
Authorized Official Middle Name:
RYAN
Authorized Official Title or Position:
DIRECTOR PHYSICAL THERAPIST
Authorized Official Telephone Number:
631-585-5915

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  022363 , 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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