| Organization Name: | HEAD OVER HEALS PHYSICAL THERAPY, PLLC |
| NPI Number: | 1003120601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JARED L CASPE (PHYSICAL THERAPIST) |
| Mailing Address: | 74 Hauppauge Rd Suite 43 Commack |
| State: | NY US |
| Postal Code: | 117254445 |
| Phone Number: | 5166801640 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2010 |
| NPI Last Update Date: | 08/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 027959 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |