| Organization Name: | PEDIATRIC PHYSICAL & OCCUPATIONAL THERAPIES PLLC |
| NPI Number: | 1093156713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND ROGERS (MANAGING MEMBER) |
| Mailing Address: | 900 Thomas Ave Baldwin |
| State: | NY US |
| Postal Code: | 115104139 |
| Phone Number: | 5163206997 |
| Fax Number: | 5163206997 |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 008383-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |