Organization Name: | NORTHPORT PHYSICAL THERAPY P C |
NPI Number: | 1467564856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG FIVES (OWNER/THERAPIST) |
Mailing Address: | 389 Fort Salonga Rd Northport |
State: | NY US |
Postal Code: | 117683044 |
Phone Number: | 6312610444 |
Fax Number: | 6312613112 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
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 |