Provider Demographics
NPI:1063996668
Name:HONEST PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:HONEST PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ESRICK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MBA, A-RSP
Authorized Official - Phone:631-504-0680
Mailing Address - Street 1:2100 MIDDLE COUNTRY RD
Mailing Address - Street 2:SUITE 17 LOWER LEVEL
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-3577
Mailing Address - Country:US
Mailing Address - Phone:631-504-0680
Mailing Address - Fax:631-204-6577
Practice Address - Street 1:2100 MIDDLE COUNTRY RD
Practice Address - Street 2:SUITE 17 LOWER LEVEL
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3577
Practice Address - Country:US
Practice Address - Phone:631-504-0680
Practice Address - Fax:631-204-6577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty