Provider Demographics
| NPI: | 1245003169 |
|---|---|
| Name: | NEAR ME PHYSICAL THERAPY, P.C. |
| Entity type: | Organization |
| Organization Name: | NEAR ME PHYSICAL THERAPY, P.C. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | SAMI |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SEO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DPT |
| Authorized Official - Phone: | 718-359-1004 |
| Mailing Address - Street 1: | 4029 235TH ST FL 2 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | DOUGLASTON |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11363-1509 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 718-359-1004 |
| Mailing Address - Fax: | 718-691-4053 |
| Practice Address - Street 1: | 4029 235TH ST FL 2 |
| Practice Address - Street 2: | |
| Practice Address - City: | DOUGLASTON |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 11363-1509 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 718-359-1004 |
| Practice Address - Fax: | 718-691-4053 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-11-02 |
| Last Update Date: | 2024-12-03 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |