Executive Physical Therapy Pt

LBN: Executive Physical Therapy Pt
Executive Physical Therapy Pt is an health care organization with primary practice located at 7802 Roosevelt Ave Ste 212 , Jackson Heights NY 11372-6626. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Executive Physical Therapy Pt can be contacted via phone (718) 426-1515, or through Anibal, Martha Ceculia via phone (718) 426-1515.

Contact Information

Primary practice address
7802 Roosevelt Ave Ste 212 Jackson Heights NY 11372-6626
Phone: (718) 426-1515
Fax: (718) 426-0133
Website:
Map and Directions
Authorized official contact:
Name: Anibal, Martha Ceculia Physical Therapist (PT)
Phone: (718) 426-1515

Health care specialties

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

Profile Details

NPI number 1497027700
LBN Legal business name Executive Physical Therapy Pt
DBA Doing business as
Authorized official Anibal, Martha Ceculia Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2012
Last updated Feb 22nd, 2013 - about 11 years ago

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.

Request for update

Popular Providers