Organization Name: | PRIMARY PHYSICAL THERAPY PLLC |
NPI Number: | 1164745774 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY W HATHAWAY (OWNER/PT) |
Mailing Address: | 792 N Main St Ste 100c North Syracuse |
State: | NY US |
Postal Code: | 132121644 |
Phone Number: | 3154582552 |
Fax Number: | 3154582575 |
NPI Enumeration Date: | 03/10/2010 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |