Organization Name: | DISTINCTIVE PHYSICAL THERAPY PLLC |
NPI Number: | 1790013746 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL C ZAGARE (PHYSICIAN) |
Mailing Address: | 1545 Walnut Ave Merrick |
State: | NY US |
Postal Code: | 115662218 |
Phone Number: | 5162148307 |
Fax Number: | 5167509086 |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 09/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 029447 |
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 |