Provider Demographics
NPI:1427314871
Name:MODI, AKASH R (PT)
Entity type:Individual
Prefix:
First Name:AKASH
Middle Name:R
Last Name:MODI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 2ND AVE
Mailing Address - Street 2:SUITE 802
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4709
Mailing Address - Country:US
Mailing Address - Phone:212-600-9299
Mailing Address - Fax:718-775-3419
Practice Address - Street 1:800 2ND AVE
Practice Address - Street 2:SUITE 802
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4709
Practice Address - Country:US
Practice Address - Phone:212-600-9299
Practice Address - Fax:718-775-3419
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY034118225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist