Provider Demographics
NPI:1295621423
Name:MH PT REHABILITATION PC
Entity type:Organization
Organization Name:MH PT REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MOAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWERA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-771-9391
Mailing Address - Street 1:564 GOLFVIEW CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7827
Mailing Address - Country:US
Mailing Address - Phone:919-771-9391
Mailing Address - Fax:
Practice Address - Street 1:564 GOLFVIEW CT
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7827
Practice Address - Country:US
Practice Address - Phone:919-771-9391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty