Organization Name: | TO THE MAX PHYSICAL THERAPY, PC |
NPI Number: | 1477816924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHIRLEY M JERKENS (OWNER) |
Mailing Address: | 15 Jericho Tpke New Hyde Park |
State: | NY US |
Postal Code: | 110404515 |
Phone Number: | 5023146584 |
Fax Number: | 5162161905 |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 031287 |
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 |