Provider Demographics
NPI:1194497446
Name:PHYSIS PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:PHYSIS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SUNNYKUMAR
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MSC, DPT
Authorized Official - Phone:212-706-7480
Mailing Address - Street 1:12 E 44TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3624
Mailing Address - Country:US
Mailing Address - Phone:212-706-7480
Mailing Address - Fax:212-706-7481
Practice Address - Street 1:12 E 44TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3624
Practice Address - Country:US
Practice Address - Phone:212-706-7480
Practice Address - Fax:212-706-7481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy