Pequa Physical & Aquatic Therapy, Pllc

LBN: Massapequa Pt & Pta Pllc
Pequa Physical & Aquatic Therapy, Pllc is an health care organization with primary practice located at 913 N Broadway , N Massapequa NY 11758-2364. The organization recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Massapequa Pt & Pta Pllc can be contacted via phone (516) 454-6387, or through Douglas, John via phone (516) 454-6387.

Contact Information

Primary practice address
913 N Broadway N Massapequa NY 11758-2364
Phone: (516) 454-6387
Fax: (516) 454-6303
Website:
Map and Directions
Authorized official contact:
Name: Douglas, John Physical Therapist Assistant (PTA)
Phone: (516) 454-6387

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 024174-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 020281-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 020281-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 024174-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 024174-1 New York

Profile Details

NPI number 1316246895
LBN Legal business name Massapequa Pt & Pta Pllc
DBA Doing business as Pequa Physical & Aquatic Therapy, Pllc
Authorized official Douglas, John Physical Therapist Assistant (PTA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2011
Last updated Jun 12th, 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.

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