Organization Name: | ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC |
NPI Number: | 1073678447 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COLE DAVID TAYLOR (P.T.OWNER) |
Mailing Address: | 5586 Legionnaire Dr Suite 6 Cicero |
State: | NY US |
Postal Code: | 130393504 |
Phone Number: | 3156989353 |
Fax Number: | 3156984463 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 012257-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |