| Organization Name: | AXIOM PT & OT PLUS PLLC |
| NPI Number: | 1932484508 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID ALBEN (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 115 Main St Suite: # 202 Tuckahoe |
| State: | NY US |
| Postal Code: | 107072911 |
| Phone Number: | 9149611010 |
| Fax Number: | 9149611011 |
| NPI Enumeration Date: | 10/14/2011 |
| NPI Last Update Date: | 10/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 224L00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Pedorthist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |