Provider Demographics
NPI:1215672407
Name:NP PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:NP PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERATER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-593-5958
Mailing Address - Street 1:6315 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3641
Mailing Address - Country:US
Mailing Address - Phone:718-327-0401
Mailing Address - Fax:718-327-1315
Practice Address - Street 1:6315 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3641
Practice Address - Country:US
Practice Address - Phone:718-327-0401
Practice Address - Fax:718-327-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty