Doctor Name: | MR. JOHN M WINGET |
NPI Number: | 1194727842 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 006015 |
Business Practice Address: | 153 Broadway Suite 200 Hawthorne, NY - 105321142 |
Business Phone Number: | 9147732145 |
Business Fax Number: | 9147732147 |
Mailing Address: | 153 Broadway, Suite 200 HAWTHORNE |
State: | NY |
Postal Code: | 105321142 |
Phone Number: | 9147732145 |
Fax Number: | 9147732147 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/27/2006 |
NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006015 |
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 |