Provider Demographics
NPI:1306951272
Name:HYER PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:HYER PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:M
Authorized Official - Last Name:HYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:518-589-6825
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:6194 ROUTE 23A
Mailing Address - City:TANNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12485-0911
Mailing Address - Country:US
Mailing Address - Phone:518-589-6825
Mailing Address - Fax:518-589-6826
Practice Address - Street 1:6194 ROUTE 23A
Practice Address - Street 2:
Practice Address - City:TANNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:12485-0911
Practice Address - Country:US
Practice Address - Phone:518-589-6825
Practice Address - Fax:518-589-6826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0254871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY383787OtherMVP
NY839606OtherMPN
NYDE4605OtherPALMETTO GBA
NYQ23FB1OtherEMPIRE BCBS
NY000408994001OtherBSNENY
NY0102406OtherGHI PPO HMO
NYU925OtherCDPHP
NY839606OtherMPN