Broadway Physical Therapy Llc

LBN: Broadway Physical Therapy Llc
Broadway Physical Therapy Llc is an health care organization with primary practice located at 289 Broadway , Staten Island NY 10310-2004. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Broadway Physical Therapy Llc can be contacted via phone (718) 448-4500, or through Sibanda, Thobile Prudence via phone (718) 448-4500.

Contact Information

Primary practice address
289 Broadway Staten Island NY 10310-2004
Phone: (718) 448-4500
Fax: (718) 448-4506
Website:
Map and Directions
Authorized official contact:
Name: Sibanda, Thobile Prudence PHYSICAL THERAPIST
Phone: (718) 448-4500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 016088 New York

Profile Details

NPI number 1649280199
LBN Legal business name Broadway Physical Therapy Llc
DBA Doing business as
Authorized official Sibanda, Thobile Prudence PHYSICAL THERAPIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649280199 NPPES
New York MEDICAID 02647758

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