Organization Name: | THREE PEAKS PHYSICAL THERAPY |
NPI Number: | 1750527784 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TANYA LYNN SHEPPARD (DIRECTOR) |
Mailing Address: | 375 Main St Suite 1a Islip |
State: | NY US |
Postal Code: | 117513542 |
Phone Number: | 6312262918 |
Fax Number: | 6312262746 |
NPI Enumeration Date: | 12/22/2008 |
NPI Last Update Date: | 10/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 032701 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |