Provider Demographics
NPI:1215281985
Name:SPRING FORWARD PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:SPRING FORWARD PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:212-996-9700
Mailing Address - Street 1:160 E 93RD ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3711
Mailing Address - Country:US
Mailing Address - Phone:212-996-9700
Mailing Address - Fax:212-996-9703
Practice Address - Street 1:160 E 93RD ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3711
Practice Address - Country:US
Practice Address - Phone:212-996-9700
Practice Address - Fax:212-996-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy