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:
Authorized official contact:
Name: Douglas, John Physical Therapist Assistant (PTA)
Phone: (516) 454-6387
Health care specialties
| Specialty | Code | License # | 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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