Provider Demographics
NPI:1154761419
Name:THERAMOVE PHYSICAL THERAPY & REHABILITATION PC
Entity type:Organization
Organization Name:THERAMOVE PHYSICAL THERAPY & REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GO
Authorized Official - Suffix:
Authorized Official - Credentials:9174434898
Authorized Official - Phone:917-443-4898
Mailing Address - Street 1:8760 125TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2707
Mailing Address - Country:US
Mailing Address - Phone:917-443-4898
Mailing Address - Fax:718-850-8705
Practice Address - Street 1:8760 125TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2707
Practice Address - Country:US
Practice Address - Phone:917-443-4898
Practice Address - Fax:718-850-8705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27933225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty