Fitness Forum Physical And Occupational Therapy, Pllc
LBN: Fitness Forum Physical And Occupational Therapy, Pllc
Fitness Forum Physical And Occupational Therapy, Pllc is an health care organization with primary practice located at 5719 Widewaters Pkwy , De Witt NY 13214-1985. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is the primary health care specialty.
Fitness Forum Physical And Occupational Therapy, Pllc can be contacted via phone (315) 478-0380, or through Linkiewicz, Michael L via phone (315) 478-0380.
Contact Information
Primary practice address
5719 Widewaters Pkwy
De Witt NY 13214-1985
Phone: (315) 478-0380
Fax: (315) 478-0388
Website:
Authorized official contact:
Name: Linkiewicz, Michael L Physical Therapist (PT)
Phone: (315) 478-0380
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 011796-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 007223-1 | New York |
Profile Details
| NPI number | 1700170545 |
|---|---|
| LBN Legal business name | Fitness Forum Physical And Occupational Therapy, Pllc |
| DBA Doing business as | |
| Authorized official | Linkiewicz, Michael L Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2011 |
| Last updated | Jul 12th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700170545 | NPPES |
| New York | Other | BA0683 | MEDICARE GROUP |
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