Aging Gracefully Physical Therapy Svc Pc in Massapequa - Specialist
Aging Gracefully Physical Therapy Svc Pc - NPI 1912067190
Aging Gracefully Physical Therapy Svc Pc is a Specialist in Massapequa, New York. Aging Gracefully Physical Therapy Svc Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Aging Gracefully Physical Therapy Svc Pc is 1912067190. The last update date is 2020-08-22.
Aging Gracefully Physical Therapy Svc Pc's current location address is 5500 Merrick Rd, Massapequa, New York. You can contact this provider via phone number 5167972657 and fax number 5165418934. The mailing address for Aging Gracefully Physical Therapy Svc Pc is 5500 Merrick Rd, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aging Gracefully Physical Therapy Svc Pc |
|---|---|
| Address | 5500 Merrick Rd, Massapequa, New York |
| Phone Number | 5167972657 |
| Fax Number | 5165418934 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cecora N Raymond |
| Credentials | PT, DPT, M |
| Telephone Number | 5167972657 |
NPI Number Detail
| NPI Number | 1912067190 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5500 Merrick Rd |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117586216 |
| Phone Number | 5167972657 |
| Fax Number | 5165418934 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 128901 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code issued to Aging Gracefully Physical Therapy Svc Pc by the Centers for Medicare & Medicaid Services?
The Aging Gracefully Physical Therapy Svc Pc has been assigned the NPI (National Provider Identifier) 1912067190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Aging Gracefully Physical Therapy Svc Pc is physically located?
The Aging Gracefully Physical Therapy Svc Pc is physically situated at the following address: 5500 Merrick Rd, Massapequa, NY, 117586216.
What is Aging Gracefully Physical Therapy Svc Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Aging Gracefully Physical Therapy Svc Pc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912067190 to Aging Gracefully Physical Therapy Svc Pc?
The Centers for Medicare & Medicaid Services assigned the 1912067190 to Aging Gracefully Physical Therapy Svc Pc on 2006-12-11.
When was the Aging Gracefully Physical Therapy Svc Pc's information last updated?
The Aging Gracefully Physical Therapy Svc Pc's information was last updated on 2020-08-22.
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